Clinical Risk Manager Jobs in Portland, OR (NOW HIRING)

The Area Director of Clinical Operations (ADCO) is responsible for the day-to-day management of clinical operations in assigned Area/States to ensure excellent patient-centered care, efficient use of clinical resources and excellent customer service. In this role, you will report to the Regional Vice President of Clinical Operations (RVPCO).

Duties/Responsibilities:

• Responsible for clinical oversight and management of the following: coaching, orienting and developing the clinical team in an assigned area which consists as applicable of Director of Nursing (DON), Clinical Supervisors, Case Managers, and field staff who treat adult and pediatric patients, as applicable

• Responsible for clinical oversight in their area/state to attain division goals regarding staffing, Quality Assurance Performance Improvement (QAPI)/outcomes and overall quality of care

• Analyzes, as applicable, clinical work metrics and makes recommendations for potential cost effective improvements while achieving excellent outcomes

• Organizes and assumes responsibility to effectively supervise others at multiple area levels working onsite and/or remotely as applicable

• Ensures that talent, staff, and resources are in place to meet clinical goals and objectives within budget as assigned

• Oversees clinical hiring, terminations, and disciplinary actions. Ensures that action plans are completed and documented

• Responsible for final approval of all clinical management staff positions in assigned area

• Reviews/approves all area clinical productivity bonuses prior to pay out in collaboration with the RVPCO

• Ensures that all necessary supplies and equipment are available in assigned area for during an emergency/disaster and/or pandemic

• Responsible for disseminating educational materials to DON and/or developing some processes and materials as assigned by the RVPCO; inclusive of regulatory and payer changes

• Performs/ensures performance and process improvement to include standardization of clinical processes, procedures, and systems as directed by the RVPCO

• Works with RVPCO to identify solutions to location concerns and/or complaints within an area as assigned

• Ensures that goals for orientation, applicable training and competency are met in all locations within the assigned area

• Expert clinical resource to assess patient and staff needs as applicable

• Accountable for achieving goals as established for reimbursement, quality/outcomes, education and/or sales events as assigned/applicable

• Audits clinical records for compliance on a regular basis. Cooperates with the QAPI audit team as applicable

• Ensures that monthly/quarterly QAPI Plan is adhered to. This encompasses bench marking and outcomes, quarterly PI/action plan/follow-up, and clinical record reviews. Assists location DON in an assigned area with PAC, Governing Body, Annual Program Evaluation, and annual risk assessments as requested by RVPCO and Director of Compliance and Quality. Chairs the area QAPI meetings and ensures completion of meeting minutes in all locations

• Responsible to ensure correct processing, documenting, and resolving as applicable all complaints and occurrences in the assigned area

• Attends in-services and continuing education to maintain ongoing clinical knowledge

• Performs/ensures that clinical staff evaluations, education, staffing time-off is managed to company's directives

• Ensures the parent to branch supervision is performed in the assigned area and supervision is documented according to state regulation

• Collaborates with RVPCO in designing, developing, and delivering a variety of professional and personal development topics to the general staff as applicable

• Develops/prepares communications to keep operations informed of updates, achievements and problems as assigned

• Ensures the assigned area location(s) are compliant with patient's rights, infection control and emergency preparedness

• Ensures that coordination of care as performed in assigned area to meet federal, state and accreditation requirements as applicable

• Responsible for clinical implementation of Emergency Preparedness Plan in an assigned area and collaborates with the local DON to promote staff and patient safety

• Able to be acting DON and/or Administrator if necessary

• Ensures that the following information/instruction is given in writing to the patient/caregiver/ representative as applicable

• Available to share on-call with nursing personnel as needed or as applicable

• Facilitates implementation of company/division initiatives as assigned

• Attains goals as set forth in performance evaluations

• Submits documentation/meets deadlines within required timeframes

• Maintains strict confidentiality of patient, agency, and employee matters

• Performs other duties as assigned

Required Skills/Abilities/Knowledge:

• Excellent verbal and written communication skills. Able to communicate with all levels of authority

• Proven leadership skills; regarded as a clinical expert resource

• Excellent technological knowledge to be able to implement new clinical systems/platforms

• Able to function independently and problem solve with minimal supervision

• Able to work with multiple teams and the RVPCO to promote viable, ethical, and cost- effective solutions

• Able to effectively deal with change

• Acceptance of philosophy, vision, and goals of the agency

• Travel to assigned Area required as assigned with varying degrees of environmental conditions

Education/Experience/Licenses/Certifications:

• Associate Degree in Nursing required. Current professional licensure required

• Minimum of three to five years proven progressive experience in home health care supervision/management. At least one to two year(s) of experience must have been obtained within five years prior to current employment with the home health agency

• Possesses excellent knowledge of Medicare, Medicaid, insurance reimbursement, coding, processes, OASIS or other required payment documents per division, policies and procedures, documentation and regulations on state, federal and accreditation standards/level(s) as applicable

Clinical expertise in treating/overseeing medically complex adults and pediatric patients as applicable by division

You are not required to disclose information about physical or mental limitations that you believe will not interfere with your ability to do the job. However, you should disclose any physical or mental impairment for which special arrangements or accommodations are needed to enable you to perform the essential functions of the job. Your description of any impairment and suggestions for reasonable accommodations will be considered in providing reasonable accommodations. The duties and responsibilities herein describe the general nature and level of work required. They are not intended to be construed as a complete list of all duties, responsibilities and skills required to meet requirements for this position.

• Requires the ability to write, dictate or use a keyboard to communicate directives

• Utilizes proper body mechanics in various environments

• Requires the ability to function in multiple environments due to travel requirements

Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position.
FLSA Status: Exempt

EEO Status: First/Mid-Level Officials and Managers

• Medical, Dental, and Vision Insurance

• Paid Time Off and Paid Sick Time

• 401(k)

• Referral Program

Pay Range: $120,000 - $150,000 / salary with bonus

Team Select Home Care reserves the right to change the above job description and qualifications without notice. Team Select Home Care will not discriminate against you on the basis of race, color, religion, national origin, sex, sexual preference, disability, political belief, veteran status, age, or any other status protected by law. Team Select Home Care is an employment-at-will employer.