Monitors and recommends process improvements based on evidence-based best practices and guides branch staff in the implementation of company policies, processes, and procedures and practice standards. Monitor's staffing and operational models and makes recommendations to support company standards, compliance, quality care, business growth and financial stability. Conducts analysis on clinical and clinically related financial outcomes data to ensure integrity of care, compliance with requirements... more details
Provide oversight, leadership and support relating to clinical practice and care provision. Consult and collaborate with agency leadership and nursing to achieve the highest quality of care for patients. Oversees the delivery of clinical services recommending best practice implementation optimal clinical staffing levels as applicable to enhance and improve the quality-of-care delivery. Provides oversight and direction in performance improvement, provision of clinical services, survey management, documentation management, incident management, EMR/EHR application, training and education of clinical leadership and staff.
Responsibilities
Monitors and recommends process improvements based on evidence-based best practices and guides branch staff in the implementation of company policies, processes, and procedures and practice standards
Monitor’s staffing and operational models and makes recommendations to support company standards, compliance, quality care, business growth and financial stability
Conducts analysis on clinical and clinically related financial outcomes data to ensure integrity of care, compliance with requirements and improve ongoing services
Performs comparative analysis of outcomes to identify local, regional, and national trends and direct initiatives to collaborate and improve overall clinical outcomes
Collaborates with branch leadership on clinical outcomes analysis, key performance metrics and identified areas for clinical improvement and assists in the development and implementation of action plans. Provides follow-up to validate timely resolution of action items.
Promotes clinician retention through oversight of ongoing staff development. Collaborate with Director, HH Clinical Education to monitor integrity of orientation program, and provides feedback and recommendations to clinical and training departments to improve programs
Develops Clinical Managers in collaboration with their up-line managers related to clinical oversight, Performance Improvement, operational processes and clinical outcomes improvement through orientation and training, routine meetings, and individual development plans
Assists branch leadership in monitoring and analyzing Medicare performance data. Ensures adherence to standards of practice
Delivers quality results through clinical excellence and oversight ensuring field clinical staff meet daily/weekly/monthly/quarterly and annual requirements
Review’s incident report trends – ensures follow up as needed. Conducts root cause analysis, identifies trends and makes recommendations for changes in clinical process, policy, and procedures
Coordinates the completion of mortality reviews in conjunction with local managers, conducts root cause analysis and makes recommendations for improvement in performance
Provides consultation as needed for nursing personnel relating to care provision and practice standards
Primary resource for local/regional clinical and nursing leadership to teach, coach, mentor, train, and precept
Acts as a clinical resource in EMR/EHR systems as necessary
Works with local clinical and operations leadership on survey preparation/chart reviews/staffing concerns/ED utilization and hospital admission reduction.
Collaborate with VP, Population Health to analyze key metric reporting for referral partners
Provides survey management support/ follow-up/and coordination of corrective actions plans related to care provision. Collaborates with local leadership to ensure appropriate plans of correction are submitted.
Provides consultation and resource for local clinical and care delivery teams for high risk, high volume, and problem prone patients, including medically fragile, those with complex care needs, slow to heal or worsening wounds, etc. Assists in the development of plans of care as indicated.
Provides on-site support as indicated
Participates in and approves the selection and hiring nursing leadership positions, provides consultation in staff clinician hires as needed; collaborates/makes recommendations in the hiring process for operations leadership positions.
Monitors patterns and trends in state/federal survey citations recommend indicated changes in clinical practice and/or process to drive improvement
Collaborate with operations on acquisitions, integration, and clinical needs for patients
Keeps abreast of healthcare and industry trends, attends industry conferences to grow knowledge and expertise
Drives improvement in efficient provision of care while protecting or improving patient outcomes. Assists staff and line management in determining appropriate actions to take in appropriately managing utilization of resources in providing patient care
Performs other duties as assigned.
Qualifications
Education:
Bachelor’s Degree in Nursing or the equivalent
Currently licensed as a Registered Nurse (RN), in good standing in state of residence (additional state licensure may be required post hire)
Experience/Qualifications:
A minimum of eight years’ experience in nursing, five of which must be in home health care,
Three years’ experience in an administrative/supervisory/quality management role in a Medicare certified home health agency generally required
License/Certification:
Valid driver’s license from state of residence
Knowledge/Skills/Abilities:
Extensive knowledge of Medicare home health requirements, clinical service delivery, third party payer coverage, accreditation, and survey management.
Must possess excellent analytical and organizational, oral, and written communication and teaching skills
The individual will be detail oriented, able to work independently and manage multiple projects simultaneously
About our Line of Business
BrightSpring Health Services is a leading provider of complementary home and community-based pharmacy and health services for complex populations in need of chronic and/or specialized care. Through the company’s pharmacy and provider services to seniors and specialty (including behavioral) populations, we provide comprehensive care and clinical services in 50 states to over 360,000 customers, clients and patients daily. The company’s services foster greater patient and family satisfaction, improve outcomes and reduce health care system costs, and are supported by industry-leading quality outcomes. For more information, visit www.brightspringhealth.com. Follow us on Facebook, Twitter and LinkedIn.
Salary Range
USD $70,000.00 - $90,000.00 / Year
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