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Care Dimensions

Location: WalthamMA 02451 Document ID: AA456-0GCB Posted on: 2017-04-0504/05/2017 Job Type: Full-time

Job Schedule:Full-time

Clinical Manager ($5,000 Sign on Bonus)

Reporting to the Director of Clinical Services, Waltham , the Clinical Manager oversees an interdisciplinary team of nurses, social workers, chaplains and hospice aides who provide end of life care in Long Term Care Facilities, Assisted Living Facilities and Private Homes. Responsibilities include, staffing, orientating new employees, clinical competency assessment, performance management and oversight of contracted services.

  • Professional Registered Nurse, currently licensed in Massachusetts.
  • Associate's degree in nursing required; Bachelor's degree in nursing or equivalent preferred.
  • Minimum of five years related experience in hospice, oncology, or home care.
  • Minimum of three years management/supervisory experience.
  • Demonstrated expertise in hospice philosophy and care, symptom management and assessment skills.
  • Ability to supervise, guide and develop the skills of professional and non-professional staff.
  • Ability to exercise independent judgement.
  • Excellent verbal and written communications skills with individuals and groups.
  • Ability to visit patients in their place of residence (home, hospital, nursing home) to provide service, supervise and evaluate clinical staff, or assist in an urgent or emergency situation.

Performance Standards: Proficient in responsibilities specific to the position.
  • Coordinates the activities of the interdisciplinary team to provide physical, emotional, spiritual and bereavement care to Hospice patients and their families.
  • Assesses staffing patterns and needs of the team and consults with Director of Clinical Services, Wellesley to determine most effective staffing pattern.
  • Assists with triage responsibilities, as needed, to ensure adequate response to patients, families and physicians' questions and needs.
  • Coordinates services and monitors effective use of Hospice Medicare/Medicaid/insurance benefits to ensure cost effective delivery of care.
  • Achieves and maintains an effective information and communication system within the team and with other teams and staff members.
  • Promotes cooperation; assures effective and appropriate coordination of care between nursing, therapies, social work, home health aide, pastoral care, volunteer and bereavement services.
  • Fosters a positive work environment reflecting mutual respect and collaboration with the members of the interdisciplinary and management team.
  • Effectively collaborates with the Referral Center to ensure appropriate, timely response to referrals from the community, nursing homes and physicians.
  • Accepts requests for service and makes assignments, taking into account care requirements of patients and clinical expertise of staff members.
  • Assists staff in making recommendations/decisions regarding changes in level of care of patients: initiating continuous care, inpatient care and respite care as appropriate. Assures communication and continuity of care across all settings.
  • Facilitates weekly interdisciplinary team meetings and ensures documentation of the review and plans/recommendations made for each patient/family care plan by team members.
  • Maintains regular communication with fiscal staff and third party case managers and reviewers as needed to ensure reimbursement for needed hospice services to patients and families.
  • Reviews patient clinical records and is responsible for ensuring compliance with Care Dimensions standards, DPH regulations and HCFA requirements re: documentation.
  • Shares responsibility with appropriate others for on-call coverage.
  • Plans for the orientation of professional and non-professional staff to Hospice philosophy, policies, and programs. Ensures that orientation objectives are met by new staff.
  • Participates in the planning and implementation of a program of inservice education for professional and non-professional staff; identifies educational and practice needs of team members.
  • Assists in development of staff members' capabilities by setting a climate for growth and leadership opportunities. Works with staff on decision making skills and setting clinical priorities.
  • Ensures adequate staffing coverage by coordinating staff work schedules at least two weeks in advance of effective time period.
  • Serves on the QAPI Committee and/or other committees as requested. Coordinates team role in QAPI activities.
  • Maintains clinical operations within established budget.
  • Verifies and approves timesheets of assigned staff; ensures accuracy of timesheet information for payroll processing.
  • Collaborates with Medical Director and assigned clinical staff to identify patients to be visited and assessed by Medical Director based on medical complexity or recertification.
  • Makes joint visits to patients and/or families with assigned clinical staff for the purpose of supervision and assessment of staff competency.
  • Conducts performance evaluations for assigned staff in conjunction with the Director of Clinical Services, Wellesley
  • Participates in development and implementation of nursing and/or counseling services standards, policies and practices.
  • Participates in the development and implementation of vendor and/or facility contracts.
  • Performs other duties assigned as required or requested.