RN Clinical Team Manager Homecare Dimensions McAllen
Company: UnitedHealth Group
Location: Edinburg
Posted on: September 13, 2023
Job Description:
Opportunities at WellMed, -part of the Optum family of
businesses. We believe all patients are entitled to the highest
level of medical care. Here, you will join a team who shares your
passion for helping people achieve better health. With
opportunities for physicians, clinical staff and non-patient-facing
roles, you can make a difference with us as you discover the
meaning behind -Caring. Connecting. Growing together.------ -
The Clinical Team Manager is an RN position who performs
management/ supervision functions in coordination of all clinical
disciplines including: skilled nursing, home health aide, physical
therapy, occupational therapy, speech therapy, and medical social
services. The Clinical Team Manager coordinates patient care on all
activities and assumes responsibility for continuity,
appropriateness and quality of services delivered within the home
health department. The Clinical Team Manager assists with the
day-to-day scheduling of staff, monitors performance of staff,
assists in the orientation of staff and serves on committees to
improve operations. The Clinical Team Manager performs all
functions in a professional and ethical manner and collaborates
with other members of the health care team to ensure the provision
of quality care. The Clinical Team Manager is responsible for
verification of appropriate incoming orders obtaining physician
orders and completion of orders. Receive and respond to all
incoming calls from referral sources or potential patients,
exchange information to identify patients' needs, and determine the
Company's ability to meet them. The Clinical Team Manager is
responsible for communication with the scheduling coordinator in
reference to new physician orders and assuring the patient is
staffed appropriately along with the reviewing of unassigned
patient visits and assisting with the staffing of the patient
visits with the appropriate field staff member. Responsible for
performing on call for home health department approximately one
week per month or dependent on the needs of the department.
Clinical Team Manager will work under the supervision of the
Clinical Team Manager Lead per branch and/or Director of Nursing
for home health for that branch, or VP of home health.
Primary Responsibilities:
- Manages the recruitment, hiring, and development of sufficient
clinical and non-clinical staff to ensure the delivery of safe and
consistent quality care to all patient/clients 24/ 7
- Participates and assists in orientation and training of
clinical and paraprofessional staff
- Ensures that on-site supervisory requirements of designated
staff are met on a timely basis
- Demonstrates an effective leadership style and solves problems
in an efficient and logical manner after accurately analyzing
facts
- Assures that clinical staff have demonstrated the ability to
perform accurate and complete assessments, communicate with
physicians, plan for service delivery, plan for discharge, and make
excellent professional decisions
- Manages the assignment of staff, monitoring of daily and weekly
schedules, and the matching of caregiver qualifications to
patient/client needs and geographical location, Manage quality
through patient/client care appraisals and employee
supervision
- Manages documentation to ensure that the patient/client's
clinical record meets legal and regulatory requirements,
facilitates care, enhances the continuity of care, helps coordinate
treatment and evaluation of the patient/client, and establishes
medical necessity so payers will reimburse for the services that
are provided
- Develops and maintains a working knowledge of all services and
resources available within the company and the community. Directs
staff to meet patient/client needs through the identification and
use of all available resources
- Ensures that a client's plan of care is executed as written and
per physician orders
- Ensures that a reassessment of a client's needs is performed by
the appropriate health care professional
- When there is a significant health status change in the
client's condition; at the physician's request; or after hospital
discharge
- Annual evaluations of staff according to company policy and
procedures and federal/state regulations
- Manages ongoing skill evaluations to assure that the staff's
abilities are consistent with the needs of individual
patient/clients and the marketplace
- Supervises clinical processes by managing staff and ensuring
flow of information and documentation from inquiry through
discharge of all patient/clients
- Provides support and documentation needed to facilitate
reimbursement
- Provides information that enables the collection and root-cause
analysis of data to identify opportunities for improvement,
develops/oversees the development and implementation of action
plans that result in continuous quality improvement
- Assists in the coordination of patient services, to include lab
reports, updated patient reports, and interdisciplinary
communication
- Receives and coordinates patient referrals from case managers,
physicians, and other referral sources
- Participates in interdisciplinary care conferences, Agency
programs and management functions, as assigned
- Monitors documentation and paper flow to ensure records are
accurate and timely and adhere to Medicare and other payer
guidelines
- Ensures that clinical notes, supply log/visit logs are accurate
and turned into the office according to Agency policy
- Investigates patient/family complaints promptly and takes
corrective action as needed
- Makes home visits to provide patient care as needed
- Recognizes and reports life threatening situations and responds
appropriately
- Demonstrates knowledge of emergency procedures and responds
appropriately
- Participates in the Agency's endeavors for accreditation,
licensing and professional recognition according to state, federal
or CHAPs requirements
- Assists Director of Clinical Services in the development of
Performance Improvement Plan reports to include achieved goals,
opportunities for improvement, statistical data and
projections
- Participates in home care Performance Improvement Program
activities to continuously improve the quality of patient care
- Serves as a resource person for clinical staff and management
in matters pertaining to Performance Improvement
- Participates in periodic review of clinical records to promote
quality patient care
- Educates clinical staff on documentation standards and patient
care as needed
- Monitors assigned cases to ensure compliance with requirements
of third party payers
- Attends all required in-service programs to maintain
comprehensive home care knowledge base within the review year, as
assigned by supervisor
- Demonstrates effective time management skills by completing
assignments within projected time frames
- Expresses verbal and written communication in a clear, positive
and cooperative manner
- Demonstrates personal responsibility with regard to attendance
and punctuality
- Promotes Agency philosophy, mission statement and
administrative policies to ensure quality of care
- Maintains privacy and confidentiality with regard to all
patient, staff and Agency information
- Provides positive, supportive communication to patients,
families, visitors, physicians and other personnel
- Promotes the Agency image by adhering to the Dress Code
- Meets productivity requirements based on Agency standard
- Demonstrates knowledge and observance of the Patient's Bill of
Rights
- Follows all infection control, standard precautions, and safety
guidelines/standards per Agency policy
- Follows the appropriate chain of command in all forms of
communication
- Demonstrates flexibility, enthusiasm and willingness to
cooperate while working with others or in place of others as
necessary
- Must be flexible with work schedule, able to work weekdays-on
call and weekends per assigned schedule
- Performs other duties as assigned
Competencies:
- Maintain privacy and confidentiality with regard to all
patient, staff & agency information
- Problem solving Skills
- Interpersonal Skills
- Communication Proficiency (Oral & Written)
- Project & Time Management Skills
- Ethical Conduct - follows appropriate chain of command
- Adaptability & Dependability
- Safety & Security
- Thoroughness
Position Type/Expected Hours of Work:
- Employee must be available during the "core" work hours and
must work 40 hours each week to maintain full-time status
Travel:
- Travel is expected for this position
You'll be rewarded and recognized for your performance in an
environment that will challenge you and give you clear direction on
what it takes to succeed in your role as well as provide
development for other roles you may be interested in. -Required
Qualifications:
- Graduate of an accredited school of nursing
- Current licensure as a Registered Licensed Nurse in good
standing with the Board of Nurse Examiners for the State of
Texas
- Maintains certification in Basic Cardiac Life Support Course C.
Familiarity with medical terminology and equipment. Additional
education and/or experience may be required by individual state
regulations -
- Evidence of independent nursing practice in delivering nursing
care
- 3+ years of experience as a RN in an acute care setting or
general medical/surgical setting
- Basic knowledge of governmental regulations, Medicare
(Medicaid, as required), regulations, and company policies and
procedures are required. Good organization, communication, human
relations skills, and reliable transportation. Self-motivation,
assertiveness and independent decision-making skills are
essential
- Intermediate PC skills (Excel, PowerPoint, Word, Visio,
Outlook, SharePoint) -
- Demonstrated ability to read and follow written and verbal
instructions in English effectively
- Demonstrated ability to operate computer terminal, printer, fax
and copier machines
- Permanent employment is contingent upon the results of the
Criminal History Check & Drug Test
- This position requires Tuberculosis screening as well as proof
of immunity to Measles, Mumps, Rubella, Varicella, Tetanus,
Diphtheria, and Pertussis through lab confirmation of immunity,
documented evidence of vaccination, or a doctor's diagnosis of
disease -
Preferred Qualifications:
- Experience in a community health or home health setting -
- Supervisory experience -
- Knowledge of general office procedures
- Proven excellent computer skills and knowledge of word
processing and excel
At UnitedHealth Group, our mission is to help people live healthier
lives and make the health system work better for everyone. We
believe everyone-of every race, gender, sexuality, age, location
and income-deserves the opportunity to live their healthiest life.
Today, however, there are still far too many barriers to good
health which are disproportionately experienced by people of color,
historically marginalized groups and those with lower incomes. We
are committed to mitigating our impact on the environment and
enabling and delivering equitable care that addresses health
disparities and improves health outcomes - an enterprise priority
reflected in our mission. - -Diversity creates a healthier
atmosphere: UnitedHealth Group is an Equal Employment
Opportunity/Affirmative Action employer and all qualified
applicants will receive consideration for employment without regard
to race, color, religion, sex, age, national origin, protected
veteran status, disability status, sexual orientation, gender
identity or expression, marital status, genetic information, or any
other characteristic protected by law. -UnitedHealth Group is a
drug - free workplace. Candidates are required to pass a drug test
before beginning employment. -
Keywords: UnitedHealth Group, Edinburg , RN Clinical Team Manager Homecare Dimensions McAllen, Executive , Edinburg, Texas
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