Clinical Care Manager

Hours: Monday to Friday 8am to 5pm

Summary & Objective

The Clinical Care Manager ensures staff is fully capable to deliver high quality pain and symptom management. The Clinical Care Manager is responsible for continuity of care from admissions to discharge or transfer to bereavement. 

Essential Functions

• Ensure all team members accurately maintain patient records from admission through discharge or transfer to bereavement, within the required time frames.

• Directs all patient care services for the team, including bereavement, and ensures that services are rendered as integrated components of the interdisciplinary plan of care.

• Collaborates with both the team physician and the attending physician regarding palliative care measures for pain and symptom management.

• Assures complete and accurate data and documentation are available to make timely recertification decisions. 

• Reviews all patients who may be considered for discharge with extended prognosis to assure effective discharge planning. 

• Manages the team schedule and assures coordination of services 24 hours a day, 7 days a week to all patients on the team.

• Performs utilization review of continuous care and inpatient levels of care for all patients on the team.

• Monitors clinical records and all team activities to ensure they are accurate, complete and meet required standards in accordance with Joint Commission, Catholic Hospice Policies and Procedures and all regulatory bodies.

• Responsible to identify and assess the physical, psychological, social and spiritual needs of the patient and family and act accordingly.

• Facilitates team meeting, assuring interdisciplinary input into the update and revision of the plan of care in concert with the changing needs and expectations of the patient and family.

• Ability to analyze information on all active patients and determine eligibility and decide if appropriate criteria are met.

• Monitors the type and level of team services provided (staffing, medications, DME, level of care changes) to assure they are appropriate and responsive to patient/family needs and expectations. 

• Performs substantive chart reviews to assure there is evidence that quality care is being delivered. 

• Actively participate in the care planning process, updating care plans according to the needs of the patient.

• Demonstrates knowledge of hospice levels of care, Medicare and Medicaid Hospice Benefits by providing appropriate documentation when the need arises.

• Develops and implements performance improvement activities to respond to service issues and challenges and participates in the Performance Improvement Committee.

• Oversees staff schedules and territory assignments to assure that the workload is distributed equitably and that all staff are able to meet overall productivity expectations.

*Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position.

Other Duties

• Participates in the Administrator On-Call rotation.

• Assures staff competence and performance levels are completed per Catholic Hospice policies and procedures. 

• Assures that problems/grievances/service failures experienced by individual patients/families or physicians are addressed with team members, vendors, internal departments and are resolved promptly and satisfactorily.

• Communicates with patients/families and their attending physicians when patient is considering revocation to seek satisfactory solutions to avoid unnecessary revocation.

• Regularly visits nursing homes and hospitals to assure care plan integration, customer satisfaction and to discuss criteria for determining appropriateness.

• Maintaining the ability to extend hospitality and patience while assisting patients, families, physicians and peers under stressful circumstances.

• Assures staff competence and performance levels through making field visits, evaluating documentation and providing team-based in-services and specific team growth needs.

• Acts as a resource and mentor for staff on clinical issues, documentation, inter-team and intra -team problem solving and appropriate customer service behavior. 

• Monitors utilization of resources by every patient to assure cost effective delivery of services.

• Assist in development of education and deliver information to resource staff.

• Analyzes customer service issues on the team to identify causes and works with individual team members as well as entire team to improve performance.

• Reviews and approves all bills/invoices related to patient care services.

• Participates in professional, voluntary or community service organizations.

• Responsible for on call emergencies, including weekends and holidays. 

• Promotes positive employee engagement, teamwork, mutual respect and safety work practices. 

• Maintain required mandatory skill updates.

• Comply with all policies, local, state and federal laws and regulations.

• Perform other duties as assigned.

• Supervisory Responsibility
• May serve as an interim department leader depending on need
• Physical Requirements 
• Must be able to lift and/or move up to 50 pounds and push/pull up to 250+ pounds, walk, climb stair or ladders, stand on feet for extended periods of time, etc.