TABITHA’S PURPOSE:  We empower people to live joyfully, age gratefully.

POSITION SUMMARY:

The Clinical Manager (RN) is responsible for the day to day operations of the HHC agency to include planning, organizing, directing, and evaluating the activities of the clinical operations to ensure the highest quality care is delivered to all elders/residents/clients(hereinafter, “elders/clients”). Primary tasks of operation focus on:

• Direct supervision of clinical staff
• Episode management
• Management of staffing and scheduling for the agency
• Retention of staff
• Orientation of new staff
• Budgeting and management of resources and expenses
• Coordination of care among team members and elders/clients
• Establishing the standard of care and practice

This employee strives to uphold Tabitha’s LIVE Culture, Crew Code of Conduct and actively embraces Tabitha’s Core Values. As a result, the employee supports Tabitha goals related to dignity, respect, independence, competence, autonomy, personal comfort, safety and security of elders/clients. In addition, the employee contributes to the success of Tabitha through ongoing collaboration with coworkers, management, volunteers and others in the organization.

ESSENTIAL FUNCTIONS:

1. Talent: Responsible to interview, hire, supervise, and coach all clinical staff. Evaluates job performance and provides timely, ongoing feedback to the clinical staff. Conducts shared visits with staff ensuring competence and customer service. Resolves personnel problems utilizing management policies and procedures and follows the disciplinary action procedure when appropriate.
2. Retention: Fosters and maintains effective working relationships with peers, clinical staff, and other business lines within the organization. Responsible to develop strong, collaborate relationships with clinical staff that enhance job satisfaction and retention. Acts as a resource and coach for office and clinical staff.  
3. Regulation: Ensures staff is educated and follow federal/state/other third party payers’ regulations regarding elder/client care. Review procedures to validate clinical staff practice are supported by the procedures.
4. Orientation: Organizes, plans, and supervises the orientation of all new staff, delegating specific tasks to key team member and partnering with preceptors to ensure a thorough, effective orientation that meets the required milestones.
5. Payroll: Collaborates with Senior Business Manager to oversee payroll practices within the agency, balancing productivity with managing budget and identifying trends among staff.
6. Staffing and scheduling: Collaborates with scheduling to assure clinical staff resources and assignments are consistent with meeting patient care needs and productivity expectations.
7. Budget: Provides input to the administrator in developing Capital and Operational budget. Manages expenses, PTO, and salaries to assure budget is met and when needed makes adjustments quick to meet budget obligations.
8. Marketing: Represents the agency and organization at outreach activities promoting services.
9. Quality: Collaborates with the Quality Assurance and Performance Improvement Manager to sustain standards of care and practice which are consistent with current trends in the industry. Holds staff accountable to evidence based practice; keeps abreast of current clinical trends in home health and geriatric care. Participates in departmental goal setting, develops action plans, and follows through to meet timelines.
10. Works collaboratively with the Clinical Informatics team and the Information Services team to resolve clinical software issues and promote efficiency in documentation.  
11. Care Coordination:  Leads coordination efforts on complex cases with the clinical staff to ensure the development and implementation of updates to the individual Senior/client needs are continually assessed to the individualized plan of care provided. Coordinates the episode of care with the clinical team; ensures appropriate numbers of visits for HHRG score. Resolves concerns from patients and family and provides timely follow up and alters agency practice to correct the issue when necessary.
12. Leadership: Provides support to the branch offices ongoing: visiting at least monthly, providing direction to the office staff, and holding case conferences on elders/clients in the region. Provides leadership on work teams within the department and organization.
13. Participates in and may lead meetings as assigned.
14. Takes administrative on call as needed.
15. Keeps the administrator informed of pertinent information and reportable situations by means of verbal and written communication.
16. Organizes and prioritizes work to complete responsibilities in established timeliness.
17. May perform home visits in time of high census.
18. Performs other duties and special projects as assigned by the supervisor.
19. Acts appropriately as a key member of management, informing appropriate parties of problems or circumstances which may impact Tabitha, and maintaining confidentiality regarding such issues.
20. Maintains a cooperative attitude with members of management at Tabitha in achieving common objectives.
21. Serves on appropriate boards and committees within the community. Works independently in identifying and resolving issues, concerns and problems. Acquires subject matter expertise in the functions and activities of the department.
22. Fosters and maintains an effective working relationship with coworkers, employees, managers, vendors and others who contribute to the success of Tabitha. Acts as a representative of Tabitha—being professional at all times. This employee identifies and studies problems and needs, develops solutions, and implements solutions to assist in providing outstanding service to each employee and department at Tabitha. Maintains courteous relationship with members of management, direct reports, peers, members of other departments and volunteers, providing leadership, support and assistance as needed to assure achievement of departmental and corporate goals. Volunteers to assist others and seeks opportunities to serve Tabitha. Assures that all direct reports do so as well.
23. Prioritizes work load to assure that all essential functions are addressed effectively, making appropriate adjustments throughout each shift and each work week to meet changing and/or competing priorities when necessary. Utilizes strength and stamina to carry out all essential functions safely and effectively.
24. Uses good judgement, discretion and integrity in the review, research and resolution of problems or complaints in area of expertise.  
25. Assures reports of broken and malfunctioning equipment are made in a timely manner.
26. Follows disaster plans and uses strength and agility during participation in preparedness drills and actual emergencies. Maintains a safe work environment. Assures that all direct reports do so as well.
27. Complies with HIPAA regulations regarding privacy by insuring that Protected Health Information (PHI) is safeguarded at all times. In addition, maintains a high level of confidentiality regarding any matter pertaining to any Tabitha elders/clients, as well as Tabitha employees and employee records. Assures that all direct reports do so as well.
28. Makes good decisions that contribute to the well-being of the elders/clients, the success of Tabitha employees, and the achievement of Tabitha objectives. Makes decision regarding matters of importance, including decisions regarding complex issues that have been elevated by direct reports.
29. Prepares for, participates in and/or conducts meetings, both on a departmental level and on a company level. Participates in and/or conducts educational in-services as well as formal and informal training sessions for staff. Assures that all direct reports attend and participate in such meetings.
30. Completes required training and in-services promptly. Attends and participates in continuing education programs designed to keep abreast of changes in the profession, as well as to maintain current license. Demonstrates understanding of the course content and implements training in daily activities. Assures that all direct reports do so as well.
31. Is a role model for staff by maintaining an exemplary record of attendance and punctuality as defined by Tabitha’s policy pertaining to attendance and punctuality. Records all time worked accurately and consistently using the timekeeping method provided by Tabitha. Assures that all direct reports meet Tabitha standards in this area as well.
32. Consistently uses strength, agility and good body mechanics when performing essential functions, develops, implement and follows appropriate safety and infection control policies and procedures of Tabitha and/or community and regulatory agencies. Assures that all direct reports do so as well.
33. Complies with Tabitha policies and procedures as published by Tabitha and which may be modified at Tabitha’s discretion. Contributes to quality assurance and performance improvement activities by identifying instances of non-compliance and taking appropriate action, including reporting violations of Tabitha policy or regulations as appropriate. Assures that all direct reports do so as well.
34. Assists with recruitment by interviewing job applicants, making hiring recommendations, and takes steps to control preventable staff turnover related to supervisory responsibilities.
35. Follows Tabitha protocol for submission of completed documentation as it pertains to employee time records, performance evaluation, performance improvement, attendance records, etc. with particular attention to accuracy and timeliness.
36. Carefully and consistently ensures that department protocol is followed regarding documentation pertaining to on-boarding, transfers and terminations. This includes completing employee change forms promptly so that equipment can be issued, badges can be created, orientation can begin, and paychecks can be prepared. Assures that direct reports do so as well.    
37. Behaves as a leader, fostering staff satisfaction through effective and consistent leadership. Establishes good relationships with staff, listens to staff concerns, takes appropriate action, communicates expectations, holds employees accountable, and manages consistently, identifying and removing barriers to employee success. Contributes to the success of Tabitha employees by coaching, developing, encouraging, nurturing, mentoring, challenging, and setting an example for direct reports. This will include working with employees on correcting performance deficiencies, policy violations, or any other area of concern.
38. Responds appropriately to emergencies. Implements appropriate safety and disaster measures for the protection of elders/clients, visitors and staff. Assures that all direct reports do so as well.
39. Makes decisions regarding matters of importance. Acts with integrity and in the best interest of Tabitha.   Business relationships are conducted in the best interest of Tabitha, free of gifts, cash inducements, gratuities, favors, or other perceived improper inducements.
40. Willingly takes on additional duties and/or assignments, assisting with projects and responding to requests as assigned or as necessary.

COMMUNICATION: Must be able to speak, read, write, and understand the English language as well as terminology and jargon specific to the job. Understands written and verbal instructions. Sufficient fluency to be able to train coworkers/employees, explain complex problems to vendors, hold a conversation, conduct or participate in meetings, compose professional e-mails or other written communication, complete documentation requirements of the job and interact with management, vendors, state officials, employees, peer coworkers, customers, vendors, volunteers and managers effectively. Ability to recognize and interpret non-verbal cues. Ability to respond calmly and clearly to emergencies and emotional situations. Able to communicate expectations with those he/she supervises, including the ability to conduct performance appraisals and establish performance improvement plans. Facilitates departmental meetings as needed to keep employees informed of business and department changes. Participates in or leads meetings related to complex topics such as budget, strategic concepts, and Tabitha goals.

WORKSITE CONDITIONS: Works indoors in a facility maintained by Tabitha that will typically be in good repair, clean, well ventilated and well lit. Work is performed in a standard office setting. Works under daily and hourly deadlines, requiring uninterrupted periods of intense activity.   Frequent exposure to interruptions and changes in priorities.  May work in client homes which will vary significantly as far as their state of repair. Occasional exposure to dust, tobacco smoke, pets, insects, vermin, heat/steam (in bathrooms), disinfectants, allergens, infectious waste, communicable diseases, bodily fluids, blood borne pathogens, cleaning products, and personal care products. Occasional driving between Home Health Care office and elder/client homes. Occasional exposure to road hazards, extremes in temperature, sun, wind, snow, ice, rain, various driving conditions which are subject to change without notice, unpaved roads, ice and snow covered sidewalks/steps/porches, houses that are too warm or too cold, houses that are not maintained in a sanitary condition, noise from elder/client televisions/radios, phones. Occasional exposure to hazardous chemicals. Frequent interaction with elders/clients, coworkers, visitors, representatives of government agencies, etc. under all conditions and circumstances. This will include exposure to elders/clients, family members and coworkers who may experience extremes in emotions. Elders/clients, in particular, may become agitated or combative.  Works beyond normal scheduled hours and on weekends and holidays when assigned. Is subject to extended hours or callback during emergency conditions or based upon needs of the organization.

PHYSICAL REQUIREMENTS Ability to gain access to the work area and then safely perform the duties of the job while utilizing standard and specialized equipment, including but not limited to the equipment described below. Physical stamina with the ability to perform duties while moving about the work area for the entire shift. Strength and agility sufficient to assist employees with any or all of their essential functions or to complete their essential functions if necessary. Vision and hearing within normal limits (with or without correction). Ability to drive vehicle from place to place, gain access to each elder/client home and safely perform duties of the job. Must have unrestricted lift/push/pull ability and pass a 50 - pound physical exam demonstrating strength and agility prior to employment and from time to time thereafter at Tabitha’s discretion.    

EQUIPMENT USAGE: Standard and specialized equipment including but not limited to gait belts, bedpans, urinals, wheelchairs, geri - chairs, commodes, shower chairs, blood pressure apparatus, thermometers (glass, electronic and tympanic), ambulation equipment (canes, walkers, crutches, etc.), whirlpool, scales (electronic and regular), oximeter, glucometer, Doppler, oxygen concentrator, mechanical lift devices, Clinitron bed, Aqua-K pad, braces, splints, side rails, heat lamp, humidifier, fan, telephone, computer, walkie talkie, electronic devices, and photocopier.

AGE REQUIREMENT:   At least age 18.

EDUCATION:                Successful completion of a Registered Nurse (RN) course of study required. Bachelor of Science in Nursing required.  
                                   

EXPERIENCE:              Three years of RN nursing experience of which one years is RN supervisory experience required. Home Health nursing experience preferred.                                        
                                      Or                                         
                                      Education in home health and/or community health preferred. Three years of experience of which one year is supervisory experience required. Home Health experience preferred.

                                      Knowledge of Medicare Home Health Regulations including the Outcome and Assessment Information Set (OASIS) preferred.

CREDENTIALS:           RN License in good standing as recorded on the Nebraska State Registry or other Nurse Compact state in good standing as recorded on the Nebraska State Registry required. CPR required. License must be kept up to date at the expense of the employee. CPR Certification must be kept up to date at the expense of the employee. Valid Nebraska Driver’s license (unless otherwise allowed by law) and a good driving record required. Must possess auto insurance at or above Nebraska statutory requirements. Must meet Tabitha's vaccination requirements.

EEO Disability/Veteran