Clinical Reviewer Jobs in Delaware (NOW HIRING)

Duties of Position
The Clinical Director (DON), in accordance with policies and standards established by the Governing Body, and under the direct supervision of the Director, shall be a full time Registered Nurse responsible for implementing, coordinating, and assuring quality of patient care services. Assists with the planning, coordination, leading, controlling and evaluation of home health services.
The Clinical Director is responsible for coordination and liaison with appropriate parent and affiliate Departments and committees, development of policies and guidelines for and obtaining input from service personnel and providing professional input to related administrative systems.
The Clinical Director directs and supervises professional and auxiliary personnel rendering patient care services, performs marketing duties, and fosters public relations for the company, consults and plans with health care facilities regarding staffing needs, and communicates the concept of quality patient care to the general community.
Shall be available at all times during operating hours.
The Clinical Director interprets service needs to the Director and acts as a patient service's administrative liaison.
The Department of Health and Social Services must be notified within 15 calendar days following any change in the designation of the Clinical Director.
Responsibilities of the Position
Participates with the Director and Executive Director in the formulation of a business plan, i.e., strategic goals, resource allocation plan(s) and a yearly budget.
Consults, plans, and works with Director in policy formulation and programmatic development and implementation including assessing adequate and appropriate staffing.
Makes patient and personnel assignments.
Coordinates patient care
Coordinates referrals
Ensures that patient needs are continually assessed.
Coordinates with Director planning activities to develop administrative policies and practices for the Agency.
Participates in all activities related to the services provided, including the qualifications of personnel and contractors as related to their assigned duties.
Provide general supervision and direction of the services offered by the home health agency.
Consults with supervisors and staff, individually or in groups, regarding patients or special programs or service programs.
Evaluates the program, services, and field personnel.
Directs the implementation of service goals and objectives.
Develops standards that ensure safe and effective services to patients and families.
Establishes job functions, qualifications, and job descriptions for each service staff (direct and supervisory).
Establishes and maintains effective channels of communication.
Keeps program personnel up to date with state-of-the-art clinical information and practices staff development including orientation, in-service education, and continuing education.
Maintains policy and procedure manuals and updates procedures and job descriptions as policies and procedures change.
Directs staff in performance of their duties.
Oversees the implementation and evaluation of patient care services inclusive of regulatory licensure and certification criteria and accreditation standards.
Coordinates with other program areas and senior management as appropriate according to the organizational structure.
Acts as liaison with Staff Development for program areas.
Assesses appropriate staff supervision during all hours of operation.
Collaborates in the development of an effective and efficient patient care documentation system including statistical compilation and analvsis relative to cost and staff service delivery.
Participates in selected orientation programs.
Keeps staff informed of agency developments, needs, etc., and encourages their participation in problem solving at the organization and communitv levels.
Assists in the evaluation of community needs and plans programs and services to meet with identified needs.
Submits formal written proposals to the Director for all new programs or services (with complete cost/benefit analysis).
Oversees all CQI and utilization review activities.
Ensures the development, implementation, and updates of the individualized plan of care.
Coordinate with continuous Quality Improvement Committee the timely implementation of corrective action plans and controls.
Assist in Agency evaluation activities.
Participate in selective conferences and workshops to promote knowledge in community health trends, efficiency in job performance and overall or professional growth.
Participate with other health, civic, education and professional groups as directed by the Director and Executive Director.
Serves on and periodically reviews policies relevant to patient care with the Professional Advisory Committee.
Assist in marketing the Agency and fostering community relations.
Consults with physicians in matters relating to patient care services.
Consults and plans with health care facilities regarding staffing needs.
Evaluates own job performance and utilization of resources in planning for professional growth.
Participates in state and national organizations, meetings, seminars, workshops, and activities relating to the health professions and health care services, when appropriate.
Promotes Staff Development
Utilizes capabilities of nursing and home health aide personnel in the development of orientation and staff education programs.
Recognizes leadership potential and offering opportunities for leadership training and development.t
Encourages and assists personnel to continue self-improvement through formal education, educational meetings, and active participation in professional and related organizations.
Assists with interviews and hires select home health care personnel.
Job Conditions
Position is stressful in terms of meeting deadlines.
It requires minimal lifting of office records and printouts.
It is primarily a desk job which essentially involves sitting, standing stooping and walking, as well as an inordinate amount of telephone communication.
Travel is required, by car or airplane to local, out-of-town, or state seminars, conferences, or meetings.
Must be able to read 12 point and larger type.
The ability to communicate well, both verbally and in writing is required.
Equipment Operation
The job requires the ability to utilize a PC, calculator, multi-line telephone, and other related office equipment.
Company Information
Has access to all patient medical records and patient financial accounts, personnel records, and company financial records, which may be discussed with all management staff.
Qualifications
1. A Registered Nurse licensed in the state of Delaware as an RN or have a Compact State license.
2. Must have at least one year of supervisory or administrative experience in home health care or related health programs and one year of supervisory experience.
3. Must have two years of nursing experience, one of which has been preferably community health experience.
4. A Bachelor's degree is preferred. In lieu of a bachelor's degree, must have at least two years of home health or related experience and at least one year of supervisory experience.
5. Must be available at all times during operating hours of the Agency.
6. The Department of Health and Social Services must be notified within 15 calendar days following any change in designation of the Clinical Director.
7. Must have a criminal background check.
8. Must have current CPR certification.