DIRECTOR OF NURSING/DIRECTOR OF PATIENT OF CARE SERVICES
Plans, develops, manages in delivering and evaluating/improving home health/hospice nursing and other direct patient care treatment/clinical services provided in the home setting by a multi-disciplinary professional state.
Ensures that quality, utilization, access, patient care and financial standards/goals are achieved or exceeded. Integrates patient care services with departmental, service line and organizational/strategic goals and objectives.
· Performs comprehensive review of the Outcome and Assessment Information Set (OASIS), Home Health Plan of Care and Strategic Healthcare Programs (SHP) results at the highest level of accuracy and productivity. Presents the findings and recommendations to the staff at all levels as well as senior management
· Able to perform utilization review of the Electronic Health Record (EHR) for current and discharged patients
· Reviews all recertification recommendations prior to continuation or discharge and participates in all revocation discussions prior to discharge
- Coordinates care with doctors and regimen of care; ensuring that patient records are properly documented and plan of care is being followed.
· Ensures compliance in meeting all regulations and standards related to home health, Medicare, JCAHO, Title 22, and other federal, state, and local requirements
- Monitors and facilitates workflow, maximizing utilization of resources to provide the highest quality of care.
- Ensures accuracy and completeness of patient records.
- Manages staff, provides clinical supervision and implements, delivers and evaluates/improves assigned programs and services.
- Provides clinical leadership and support to patient care team
- Coordinates and supervises the delivery of home health services, activities and patient care provided by an interdisciplinary staff/team in the home setting.
- Formulates and monitors quality and performance criteria, policies procedures and service standards.
· Evaluates clinical outcomes and performance of programs/services and makes appropriate recommendations for new modalities/programs or modification/improvement of existing programs.
· Ensures practices, services and operating procedures comply with administrative, legal and regulatory requirements of the Health Plan and governmental and accrediting agencies
- Establishes, implements, and maintains patient care and service standards to meet member service needs and expectations.
- Conducts a quality management/improvement/assurance program to ensure compliance with standards for home health services/programs and external regulatory agency requirements.
- Identifies service delivery/quality issues and implements corrective actions/plans for improvement.
- Determines the appropriate staffing requirements and develops processes to interview, hire, train and maintain the competency of all department staff.
- Assesses professional development needs of staff and plans for training/continuing education of professional staff.
- Develops and implements procedure changes impacted by policy revisions which affect patient care/team functions; makes recommendations on policy changes to IDG
- May perform other duties as required/ Participates in special projects.
- Assures effective two way communication between teams and others area
- Help develop quarterly and annuals goals and objectives.
- Communicates with families and providers
- resolving issues with patients, staff, families and other care providers: and other job duties as directed by your Healthcare Consultant.
- Acts as patient advocate resolving patient care issues.
- Interprets and explains the program benefits to members and caregivers.
- In collaboration with the Area Home Health/ Home health Administrator, Continuing Care Leaders and other appropriate medical and non-medical staff, evaluates clinical outcomes and performance of programs/services and makes appropriate recommendations for new modalities/programs or modification/improvement of existing programs.
Quality Improvement/Regulatory Compliance • Randomly monitors both active and closed charts to assure that services are rendered as integrated components of the interdisciplinary plan of care, that the team makes decisions which are appropriate and responsive to patients’/families’ needs and expectations 24 hours a day, 7 days a week, and that documentation effectively demonstrates quality and regulatory compliance
Required Skills • Knowledgeable about how to complete an accurate OASIS, Plan of Care and review SHP results • Thorough knowledge of Title 22, the Medicare Home Health Conditions of Participation (CoPs) and The Joint Commission (TJC) standards for Home Care • Knowledge of EHR application and knowledge of PDGM
Preferably have participated in JCAHO and State Level Survey