As a member of the clinical / operational leadership team, assists in directing patient care in the home-based setting in accordance with professional nursing and allied discipline standards. Provides oversight of the delivery of direct patient care through care coordination and guiding the collaboration among the interdisciplinary team. Is responsible for leadership of the clinical team and ensure the highest quality of patient care is provided through active engagement with employees in the patient home and other appropriate settings.

Clinical / Operational Leadership

• Provides leadership and direct supervision with focus on clinical problem solving, mentoring, coaching, performance management, and annual performance evaluations of interdisciplinary team in accordance to HR policy and process administration.
• Assesses and educates staff on job performance and assures competency in staff, to meet or exceed agency established benchmarks, e.g. quality and economic outcomes, patient satisfaction, productivity, and documentation requirements.
• Enforces compliance and quality standards based on objective feedback and measurements from quality specialists, patient care supervisors, and/or other clinical / operational leadership staff.
• Approves and coordinates coverage for staff absences, vacations and maintains staffing needs in accordance with safe patient care and quality standards.
• Addresses and resolves patient/caregiver complaints, events or safety concerns from patient, family or caregivers.
• Performs clinical duties including patient/ family visits, supervisory visits for field observations and competency evaluation of care to facilitate teamwork and ensure compliance with regulatory and state regulations.
• Monitors productivity, clinical assignments and direct supervision of scheduling workflows to ensure compliance with established operational metrics and compliance with regulation standards.
• Interprets data and implements best practices to achieve established metrics for clinical, fiscal and satisfaction outcomes including staff engagement, staff retention, clinical outcomes and patient and family experience.
• Provides coverage for supervisor staff during absences/vacation request and participates in leadership call responsibility as assigned / delegated.
• Participates in interview and hiring process including working with service line preceptor in completion of the onboarding process and is responsible for coordination of orientation and training programs for new staff. 

Care Coordination

• Assists clinical team to coordinate complex referral to other services, community resources, etc. ensure effective processes implemented between referral source, central coordination and clinical staff.
• Facilitates communication between the interdisciplinary team, physicians, patients and family members.
• Participates in case conference sessions for care coordination, discharge planning and utilization as determined appropriate by clinical / operational leadership or designee.
• Participates and supports continuous improvement and quality initiatives.
• May be responsible for regulatory role of Director of Operations or designee
  • Making patient and personnel assignment.
  • Coordinating patient care.
  • Coordinating referrals.
  • Assuring that patient needs are continually assessed.
  • Assuring the development, implementation and updates of the individualized plan of care.
  • Available (or assigning a designee) at all times during operating hours
  • Ensures the quality of services offered and adequate staffing.

Subject Matter Expert

• Expert in service line rules and regulations
• Reviews documentation to ensure compliance with state regulations, conditions of participation and payer requirements.
• Ensures care delivery by team(s) is in compliance with state regulations, standards of professional practice by discipline, conditions of participation and payer requirements.
• Super-user of electronic health record.
• Responsible for audits, revenue cycle / denials review and accuracy.

QUALIFICATIONS: