RN Clinical Manager

Clinical Manager

Responsible for assuring the delivery of quality health care services to the patient. The Clinical Manager represents the agency by facilitating its mission and agency objectives.

Duties and Responsibilities

• Utilizes current nursing concepts and principles as well as understanding of coverage criteria to direct, supervise, and ensure the quality of care provided by the Coordinators of Care (COC) and other Clinical staff

• Assures the periodic reassessment of and appropriate revisions to the plan of care and ensures full recert packages are submitted timely

• Evaluates the skills and services provided by the clinical staff through record review, field visits, and case conferencing?

• Maintains effective communication with staff and patients

• Serves as a patient advocate in communications with third-party payers.

• Identifies staffing and service needs

• Performs duties necessary in the Emergency Disaster Plan

• Assures that all care and staff interactions uphold the non-discrimination policy and are sensitive to the Americans with Disabilities Act

• Provide direction to COCs regarding difficult patient issues

• Assesses the educational needs of the COCs relative to the patient’s care and ensures their needs are met?

• Participates in the agency’s orientation, education, and performance improvement activities??

• Participates in hiring, training, and disciplining clinical staff

• Participates in an on-call coverage rotation

• Coordinates and ensures the accuracy of conversion packets

• Performs other related duties as needed