Clinical Field Staff Supervisor (RN Case Manager) Hospice - Durant, OK - Hospice
Company: Mays Home Health
Posted on: May 14, 2022
Clinical Field Staff Supervisor (RN Case Manager) Hospice -
CLINICAL FIELD STAFF SUPERVISOR--REPORTS TO: -- DIRECTOR OF NURSES
- Must be currently licensed as an RN through the Board of
Nursing in the state of practice.
- Must have at least an Associate's Degree in Nursing.
- Prefer one-year clinical experience in the health care
industry, and one-year experience in hospice. Must understand the
issues related to the delivery of hospice services and be able to
problem solve effectively as well as possess knowledge of the
Medicare guidelines governing hospice agencies or have
experience/abilities that indicate with training they would
- Prefer supervisory experience
- Must be organized, detail oriented, and possess effective
communication skills both orally and in writing. The ability to
communicate with a diversity of individuals is required.
- Must have good clinical judgment and observation
- Must have a positive attitude, is self-directed, and has the
ability to work with little supervision
- Must be willing to comply with accepted professional standards
- Must be flexible and cooperative in fulfilling role
- Must have satisfactory references from previous (or current)
employers, nursing school, and/or professional peers.
- Must possess a valid state driver's license and adhere to all
state laws while driving
- Must possess automobile liability insurance
- Must have dependable transportation kept in good working
- Must be able to drive an automobile in various types of
- Must possess intermediate computer skills
SUMMARY OF JOB RESPONSIBILITIES--The Clinical Field Staff
Supervisor (CS) is responsible for the overall coordination of
hospice services provided to Medicare and non-Medicare patients.
The CS is responsible for the provision of quality services
according to acceptable clinical and agency standards of practice
and continually monitors the services provided. The CS is a
resource person that gains extensive knowledge of the regulatory
and practice guidelines governing hospice agencies-who ensures
compliance with agency policies, State and Federal laws and
regulations. The CS is the liaison between the community, referral
sources, physicians, patients, caregivers, agency staff, and
contract disciplines.--RESPONSIBILITIES AND DUTIES--
- Provides a positive work environment by consistently modeling
in a positive way, the agency philosophy, mission, values,
standards of care, and providing a professional role model for
other staff. Ensures field staff are educated on process and
- Adheres to HIPAA regulations and follows agency protocol
maintaining confidentiality and does not improperly disclose of
- Complies with all agency policies and procedures.
- Is diligent in activities that ensure advanced proficiency in
Homecare Homebase (HCHB) Electronic Health Record (EHR). --
Actively seeks out training and continuing education in agency
processes including participation in offered classroom training and
e-learning courses. Communicates as appropriate with staff,
physicians, referral sources, community, patients, potential
patients, caregivers, and others involved in care.
- Receives referrals with enthusiasm from physicians and staff
and may participate in entering referral into the Electronic Health
Record (EHR). Clearly identifying the referral source.--
- Ensure assessing clinicians and ancillary staff provides
exceptional patient care by utilizing all elements of the nursing
process and/or agency standards of care. --Ensure the level of care
and services provided coincide with the patients' level of acuity
and meet their needs.
- Ensure assessing clinicians and ancillary staff is providing
care within their scope of practice and submits quality
documentation authenticating appropriate assessment and
intervention provided to the patient.
- Completes Client Related Task of Review Evaluation
Documentation which presents in workflow once the assessing
clinician has completed the evaluation to ensure quality care,
quality documentation, criteria met for patient to qualify for
services and plan of care established to meet the needs of the
- Review all required items such as Unlisted Item Report (to
coordinate adding unlisted allergies, meds, and/or supplies), Visit
Note (for information regarding patient status), Medication Profile
(to review contraindications), Calendar (to ensure proper
disciplines, frequencies, and buddy codes), Problem Statements/Care
Plans (to ensure proper 485/goals and pathways), Coordination Notes
(for idea of patient status), Aide Care Plan (for aide services),
Supply Requisition, Initial Order (for review), Authorization
Information Report (for non-Medicare patients).
- Review non-required items as indicated such as Vital Sign
Parameters (to ensure patient specific parameters are set),
Previous Orders, Pharmacy Info, and Plan of Care.
- Coordinate with assessing clinician to assist in establishing
short and long term therapeutic goals and setting priorities.
Receive authorization from the assessing clinician to make
necessary edits to reflect an accurate assessment and to provide
patient with appropriate pathways, interventions and services.
Coordinate with assessing clinician, hospice physician, and
intradisciplinary group (IDG) to establish a plan of care and
initiate services specific to the patient's needs.
- Reviews various types of coordination notes which communicate
pertinent patient information or data related to patient care and
provision of services. Provide additional coordination with
physician, disciplines, and patient/caregiver as
- Reviews coordination notes that are automatically generated
when medication issues are recognized and communicates drug
interactions, duplications, and contraindications to the physician.
Implements instruction given by physician regarding the medication
issue(s), communicates physician's response to the
patient/caregiver, and follows-up to ensure compliance.
Reviews/Edits/Approves plan of care ensuring diagnoses/coding are
accurate and calendar is complete with disciplines/frequency/buddy
codes, collaborating with the assessing RN to receive authorization
to edit as necessary.
- Provides initial review of hospice plan of care for thorough
review of all data fields making spelling and grammar corrections,
ensuring orders concur with assessment and HIS documentation, and
goals/interventions are specific to patient needs. Once complete,
work flow will then go to the Coding Specialist for
- Reviews list of recommendations made by the Coding Specialist
and collaborates with assessing clinician to
review/implement/reject recommendations related to coding, HIS
accuracy, and documentation. Obtains authorization from the
assessing clinician prior to editing and completes appropriate
coordination note to indicate to the Coding Specialist
recommendations that were accepted or declined.
- Collaborates with other disciplines such as therapy when
patient has medical necessity and meets criteria for such services.
Integrates their assessment into the EHR following the workflow of
Reviewing Add-on documentation, Review/Edit/Approve Add-on Order,
and any other patient related task including updating the calendar
to include the visits. Continues to monitor to ensure these
disciplines are following the established plan of care, is
compliant with re-assessments within the timelines established by
Medicare, providing excellent patient care, providing quality
documentation, and meeting the needs of the patient.
- Maintains communication regarding patient care with the
physician and other disciplines involved in the care. Receive calls
from field staff and physicians regarding patient care
issues/orders. Enters orders as appropriate and updates the
medication profile and schedule. Enters information regarding all
communication into the Coordination Notes section of the EHR.
Updates the plan of care as necessary and notifies physician and
staff as appropriate to ensure proper coordination of
- Reviews/Edits/Approves new orders as they appear on the Action
Screen. Approves or declines as appropriate. Follows-up with
licensed clinician to receive authorization as necessary should
orders need to be edited. Updates the client's medication profile
and schedules as applicable; via the order. Ensures all orders that
address frequency have appropriate calendar modification completed.
Reviews and re-approves declined orders.
- Ensures supervisory visits of hospice aides are scheduled and
performed in person, by required discipline, within timelines in
compliance with federal regulations.
- Enters Discharges for patients when criteria apply.
- Collaborates with Triage On-Call nurse making them aware of
potential after hour activity that may occur with high risk
patients. Reviews On-Call Coordination Notes every am and receives
report from the Triage On-Call nurse as necessary to be informed of
after-hours activity that occurred with patients. Ensure continuity
of care and follow-up with patient as indicated, ensure orders were
written as necessary to accommodate patient needs, ensure
meds/calendar was updated as indicated, and ensure documentation is
- Reviews and processes all wound score deviations taking
appropriate action such as coordinating with physician,
communicating with staff, patient, and/or caregiver, updating
supply needs, and writing orders.
- Reviews and processes Vital Sign Alert Reports to determine if
any patient vital signs fell outside patient specific parameters as
established at admission/recert or per subsequent physician order.
Reviews EHR to see if physician contact was made by the field nurse
and ensure action is documented. Ensures proper care is provided to
the patient by following-up on physician notifications and
collaborating with them to update the plan of care to include
additional visits, update teaching plans, etc. to meet the needs of
the patient and then communicate with patients as
- Constantly reviews workflow screen. Diligently and accurately
completes all tasks included within client related tasks,
coordination notes, and administrative tasks in a timely
- Assesses, evaluates, and regularly re-evaluates the needs of
patients. Monitors visit frequency, documentation, costs, and
patient outcomes. Adjusts plan as needed for safety and improvement
of patient's condition, ensuring the stabilization and/or
improvement of the patient's outcomes. Makes onsite visits with
patients or other members of the healthcare team when the
complexity of the care warrants. Complex issues would include but,
are not limited to difficult wounds, unacceptable home environment,
functional decline, significant change in mental status,
- Reviews all clinicians' documentation to ensure excellent care,
quality documentation, improving outcomes, and medical necessity to
ensure the provision of services and documentation required for
financial reimbursement for care completed on a timely basis and in
compliance with state and federal regulations.
- Understands priority is patient care. Must be willing to assist
in whatever ways necessary to meet this goal including providing
the hands-on patient visits-from personal care to skilled care as
- Ensures customer service is being provided to all patients,
physicians and other affiliates. Enters complaints into the
database as received by patient, caregiver, physician, etc. so that
workflow presents to the DON who will investigate the complaint.
Assist the DON with investigation and resolution of complaints as
- Enters Medication errors into the database upon occurrence and
collaborate with DON to receive direction on further
- Enters occurrences into the database upon notification and
collaborates with DON to receive direction on further
- --Ensures field staff follows protocols and take necessary
action to prevent the spread of infectious diseases. Processes
infection control report and reviews for indication of spread of
infection. Collaborates with DON to receive direction when
indication of spread is indicated.
- Participates enthusiastically as a team member that actively
supports the short and long-term growth objectives of the
- Participates in Visit Nurse On-call rotation and assumes
on-call duties as assigned. Must be available 24 hours per day when
scheduled to be on-call. Must be reachable at all times and comply
with the On-Call Process.
- Communicates with the members of the interdisciplinary team to
coordinate the plan of care.--
- Teaches the patient and caregiver self-care techniques as
appropriate. -- Provides instructions on medication, comfort
measure, and diet as ordered by the physician and utilizes
opportunities for offering psychosocial and spiritual counseling
for patients and families/caregivers through the hospice social
worker and chaplain.
- Works in cooperation with the family/caregiver and hospice
Interdisciplinary Team Members to meet the emotional needs of the
patient and family/caregiver.
Disclaimer: The above statements are intended to describe the
general nature and level of work being performed by people assigned
to this classification. They are not to be construed as an
exhaustive list of all responsibilities, duties, and skills
required of personnel so classified. All personnel may be required
to perform duties outside of their normal responsibilities and will
be directed by their Director of Nurses (DON) or Area Clinical
Supervisor as the need arises.--WORKING CONDITIONS--
- General office.
- Work is moderate with a combination of sitting, standing, and
- Community and client home environment.
- Potential exposure to blood and/or body fluids and infectious
disease during the performance of job duties.
- Potential exposure to extreme temperature and humidity when
traveling and while in client homes.
- Potential exposure to dust, gas, fumes, and odors during
- This position has been designated as clinical management (see
Infection/Exposure Control Plan). Employees performing clinical
management duties may be involved in potential exposure to blood
borne pathogens and other potentially infectious materials. All
clinical management employees will be offered Hepatitis B
vaccination at no expense to the employee.
- Visual and manual dexterity is required
- Good physical stamina and mental health is required. Has
completed the agency pre-employment health clearance.
- Ability to perform tasks involving physical activity, which may
include heavy lifting and extensive bending and standing.
- Ability to deal effectively with stress.
--CONTINUING EDUCATION REQUIREMENTS--The Clinical Field Staff
Supervisor (CS) must meet the required continuing education hours
for state certification as a nurse in Texas as applicable. Agency
personnel are expected to participate in appropriate continuing
education as may be requested and/or required by their immediate
supervisor. In addition, agency personnel are expected to accept
personal responsibility for other educational activities to enhance
job related skills and abilities. All agency personnel must attend
mandatory educational programs.--#CB
Keywords: Mays Home Health, Allen , Clinical Field Staff Supervisor (RN Case Manager) Hospice - Durant, OK - Hospice, Executive , Durant, Texas
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