Clinical Manager Palliative

The Clinical Manager, Palliative reports to the AVP of Palliative Care and is responsible for coordinating and managing all day to day business affairs and other clinical activities related to the administration of the palliative division.

• Ensures clinical care delivery goals are met and exceeded.
• Helps coordinate clinical responsibilities for market.
• Ensures scheduling, managing frequency adherence, clinical coordination, medical record maintenance function, and marketing functions are maintained for a team of patients and clinicians.
• Manages incoming calls from partners and patients.
• Manages Visit Freq compliance, scheduling PRN visits, post hospitalization follow up with patient/family-expediting discharge home with communication with partners, schedule post hospitalization visits.
• Facilitates orders for labs, DME, imaging.
• Coordinates results with NPs, enters telephone encounters in partner EMR, and enters routine visit med reconciliation in partner EMR.
• Ensures transitions to HSP referrals to CTC for care type.
• Assists in appropriate identification of HSP eligible pts.
• Identifies HH providers that can accept HH referrals from PCC.
• Identifies and communicates with local partner office for lab drop off.

Primary Functions

• Adheres to Company Policies and Procedures.
• Participates in developing Department goals, objectives, systems, policies and procedures.
• Acts as a role model within and outside the Company.
• Performs duties as workload necessitates.
• Maintains a positive and respectful attitude.
• Communicates regularly with supervisor about Department issues.
• Demonstrates flexible and efficient time management and ability to prioritize workload.
• Consistently reports to work on time prepared to perform duties of position.
• Participates in administrative staff meetings, committees, and special projects, and seeks additional responsibilities.
• Recommends new approaches to effect on-going continual improvements to policies, procedures, and documentation.
• Complies with, and ensures compliance with, rules, regulations, and policies within all local, state, and federal governing agencies as well as Company policies and procedures.
• Performs other related duties as required and assigned.

Essential Functions of Position

• Coordinate and direct all day-to-day clinical activities related to the administration of the palliative program.
• Serve as a contact for patient calls and coordinate appropriate follow up for patient needs
• Ensure referral process is supported by obtaining sufficient admission and insurance information in order to ensure appropriate and timely admission of patients.
• Coordinate and maintain effective and efficient scheduling for the Nurse Practitioners to include geographical considerations that may impact time management and company cost.
• Monitor Risk Scoring and ensure visit frequency adherence as indicated by Global Alerts
• Reschedule patients with NP, RRN, RSW, AH RN or RN to meet required visit frequencies
• Schedule and communicate with NP, RN or AH RN for PRN visit needs
• Track ED visits and hospitalizations. Gather required details and medical record documentation surrounding event and document in hospitalization tracker timely and accurately
• Schedule post hospitalization/ER visits with appropriate staff, including field and remote teams
• Support NPs with submitting orders for DME, imaging, labs as required
• Track outstanding results, obtain results timely and provide to NP and PCP as appropriate
• Ensure lab and imaging results are uploaded to EMR
• Document results given to provider in Telephone Encounter
• Coordinate with local partner practice for lab drop off as needed
• Update medication reconciliation inside of partner’s EMR as appropriate
• Assist staff with submitting documents related to the credentialing with payors and maintain a credentialing log.
• Manage all daily clinical records functions including establishing and implementing clinical records policies. Ensure clinical record systems are maintained in compliance with state and federal regulations and company policies.
• Coordinate information and prepare IDT Agenda for interdisciplinary team meetings and other essential meetings.
• Oversee Home Health and Hospice Referral process, ensuring timely acceptance of referrals.
• Establish and maintain professional and productive relationships with all referral sources, including the Gentiva family of companies
• Act as a resource for customers and community as a whole regarding Palliative Care.
• Maintain standard of high quality customer service, and monitor and track referral sources’ satisfaction levels. Identify opportunities for additional or improved services to address unmet customer needs through family and physician satisfaction surveys. Communicate customer service issues to the Director as appropriate.
• Document any customer complaint utilizing the complaint form and follow up with program director.
• Participate, as applicable, with quality assurance and performance improvement activities for program and necessary data collection and reporting.
• Implement marketing and promotional initiatives as directed by the Director.
• Adhere to and participate in Company’s mandatory HIPAA privacy program/practices, Business Ethics and Compliance programs/practices, and all Company policies and procedures, including the Employee handbook.
• Facilitate onboarding and training for new employees
• Conduct employee evaluations
• Adhere to code of conduct conducive to Company policy.

Education/Experience:                 

• Registered Nurse with Home Health, Hospice and/or Palliative Care Experience preferred
• Bachelor’s degree in Nursing, Business Administration or related field; or equivalent experience and knowledge in Health Care Operations required.
• Master’s degree in business or related field preferred.
• Minimum of 2 years health care administration/operations management required
• Certified in Hospice and Palliative Care - preferred

Training/Equipment:

• Fluent competence in computer and smart phone navigation.
• Working knowledge of, Microsoft Outlook, Microsoft Word, Microsoft Excel, and Microsoft PowerPoint.
• Must have and maintain reliable transportation to be used for work. Must have and maintain current automobile insurance and valid driver’s license.              

Benefits for All Associates (Full-Time & Per Diem):

• Competitive Pay
• 401(k) with Company Match
• Career Advancement Opportunities
• National & Local Recognition Programs
• Teammate Assistance Fund

Additional Full-Time Benefits:

• Medical, Dental, Vision Insurance
• Generous Paid Time Off + 7 Paid Holidays
• Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care)
• Education Support & Tuition Assistance
• Company-paid Life & Long-Term Disability Insurance
• Voluntary Benefits (Pet, Critical Illness, Accident, LTC)

• This is a safety-sensitive position
• Employee must meet minimum requirements to be eligible for benefits
• Where applicable, employee must meet state specific requirements
• We are proud to be an EEO employer
• We maintain a drug-free workplace

At Empatia, part of Gentiva, it is our privilege to offer compassionate care in the comfort of wherever our patients call home. We are a national leader in hospice care, palliative care, home health care, and advanced illness management, with nearly 600 locations and thousands of dedicated clinicians across 38 states.

Our place is by the side of those who need us – from helping people recover from illness, injury, or surgery in the comfort of their homes to guiding patients and their families through the physical, emotional, and spiritual effects of a serious illness or terminal diagnosis.

• Hospice care: Gentiva Hospice, Emerald Coast Hospice Care, Heartland Hospice, Hospice Plus, New Century Hospice, Regency SouthernCare, SouthernCare Hospice Services, SouthernCare New Beacon
• Palliative care: Empatia Palliative Care, Emerald Coast Palliative Care
• Home health care: Heartland Home Health
• Advanced illness management: Illumia Health

With corporate headquarters in Atlanta, Georgia, and providers delivering care across the U.S., we are proud to offer rewarding careers in a collaborative environment where inspiring achievements are recognized – and kindness is celebrated.