RN Manager/Supervisor Home Health
HealthFlex

Field Clinical Supervisor - Registered Nurse

HealthFlex Fairfield, CA 94534, US

Description

At HealthFlex Home Health & Hospice, we believe the best clinical leaders never lose touch with the patients they serve. That's why we're looking for an experienced RN to step into our Field Clinical Supervisor role, a position designed for nurses who are ready to grow as leaders without giving up the bedside moments that brought them into home health in the first place.


In this role, you'll guide and develop a team of RN, LVN & HHAs, sharing your expertise through hands-on training, shadow visits, and field supervision that shapes how care is delivered across our communities. You'll have a real voice in quality, from leading case conferences and reviewing utilization to digging into the root causes of rehospitalizations and building education that keeps patients safely at home. And you'll still be in the field, completing Start of Care evaluations and seeing patients directly, so your leadership is grounded in real, current clinical practice.


This is a salaried position, which means predictable, guaranteed income every pay period. No more worrying about cancelled visits, slow weeks, or chasing productivity to make your paycheck work. You can focus on doing the job well, knowing your compensation is stable.


If you're a skilled home health nurse who's ready to mentor others, strengthen clinical quality, and make a bigger impact while staying connected to patient care, we'd love to meet you.


Position Summary: The Field Clinical Supervisor combines direct field clinical practice with office-based case management and quality functions to support HealthFlex Home Health Services' patient outcomes, regulatory compliance, and staff development. This role blends hands-on Start of Care (SOC) nursing evaluations, field supervisory oversight, and new staff training with office responsibilities including utilization review, documentation compliance, scheduling coordination, and rehospitalization prevention analysis. The Field Clinical Supervisor serves as a clinical resource bridging field operations and administrative/quality functions.


Essential Duties and Responsibilities: This section describes the essential functions of this role; however, this is not intended to be all-inclusive. Other duties may be assigned, as necessary. Reasonable accommodations may be provided to enable individuals with disabilities to perform the essential functions of this job.


Field Responsibilities

  • Complete Start of Care (SOC) skilled nursing evaluations, including the comprehensive assessment and OASIS, in accordance with Medicare Conditions of Participation and agency policy
  • Conduct field supervisory visits for LVNs, home health aides, and other clinical staff per California nursing practice requirements, Medicare Conditions of Participation supervision requirements (42 CFR §484.80), and agency competency standards
  • Conduct field supervisory visits for RNs, LVNs, and home health aides associated with annual performance review
  • Collaborate with the Clinical Supervisor on Annual Performance Evaluations (APE) for RNs, LVNs, and home health aides, providing field-based observations, performance feedback, and clinical input as appropriate
  • Provide hands-on training and clinical onboarding for newly hired RNs and LVNs, including shadow visits and competency validation
  • Deliver direct patient care visits as needed to support caseload coverage
  • Document all field encounters accurately and timely in WellSky, consistent with clinical record integrity standards
  • Oversee 5–7 Full Time Equivalents

Office Responsibilities

  • Manage assigned case load administratively, including care plan oversight, coordination with interdisciplinary team members, concierges and schedulers as needed
  • Monitor clinician scheduling activity and address instances where evaluations are moved without appropriate notification.
  • Meet with clinicians to discuss scheduling concerns, clarify expectations, and communicate required next steps.
  • In collaboration with the Clinical Supervisor, determine when clinician scheduling access in Kinnser should be suspended based on ongoing scheduling compliance issues.
  • Document scheduling concerns, follow-up discussions, and actions taken to ensure accountability and adherence to scheduling procedures.
  • Participate in and/or lead interdisciplinary case conferences as assigned to review patient progress, clinical needs, plan of care, barriers to care, and coordination of services with the interdisciplinary team
  • Perform utilization review to ensure visit frequency, duration, and skilled nursing services align with plan of care, payer authorization, and medical necessity standards
  • Review and respond to patient complaints related to clinical care, coordinating investigation and resolution with clinical leadership
  • Conduct root cause analysis for rehospitalizations, identify trends, and develop/deliver staff education aimed at rehospitalization prevention
  • Support other quality and compliance initiatives as assigned
  • Respond and evaluate Livanta appeals as needed

Working Conditions

  • Ability to travel within assigned service territory for field visits, supervisory visits, and patient care as needed
  • Ability to perform skilled nursing assessments and procedures in the home, including patient assessment, medication management and education, wound care, and other treatments within agency scope
  • Ability to lift/assist patients consistent with safe patient handling standards (including gait belt protocol)
  • Prolonged periods of computer work for office-based documentation and utilization review duties
  • Hybrid role requiring regular travel to patient homes across assigned territory and time in the HealthFlex office for administrative, training, and quality functions
  • Exposure to varied home environments; adherence to infection control and safety protocols required

Requirements

  • Current, unrestricted California Registered Nurse (RN) license in good standing
  • Current CPR certification
  • Minimum [1–2] years of home health experience preferred; prior supervisory, mentoring, or training experience preferred
  • Working knowledge of Medicare Conditions of Participation, OASIS, and California home health regulatory requirements
  • Proficiency with WellSky (or willingness to train) and Paylocity or similar HRIS
  • Valid California driver's license, reliable transportation, and proof of auto insurance meeting agency minimums
  • Strong written and verbal communication skills; ability to train and mentor clinical staff effectively
  • Ability to independently manage competing field and office priorities

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