clinical operations manager jobs

Clinical Manager Registered Nurse

Family First Healthcare Services Tampa, FL

Family First Healthcare Services in Florida is seeking an experienced Home Healthcare Clinical Manager, Registered Nurse (up to 20 hours per week) who is highly capable of building relationships to coordinate patient care transitions between different facilities and our agency. Key responsibilities involve assessing a patient's health, creating and implementing care plans, educating patients and their families on disease management, and coordinating with other healthcare professionals like physicians and therapists. As a family of caregivers, our patient centric approach and enhanced emphasis on optimal patient outcomes is deeply rooted in every one of our interactions. This Registered Nurse is expected to be fully dedicated to the wellbeing of our patients, partners, referral sources, and clients. Our Home Care team leads by example—ensuring that the promise of our culture of care is delivered to each and every individual our organization has a relationship with, from clients, patients to everyone in between. Our Mission has always been to improve the quality of life for those that we serve, and we strive to deliver upon this with EVERY patient/client experience. It is consistently about the people that we serve and for our team members – our dedicated team works tirelessly to provide the very best care. Our Clinical Manager, Registered Nurse, will work in close concert with and under the leadership of our Head of Clinical Operations . This Nurse lead will also play a lead role in overseeing daily operations, managing staff, ensuring high-quality patient care, and maintaining compliance with regulations . Other key accountabilities can include supervising nurses and support staff and developing and overseeing patient care plans. Our Home Health Registered Nurse (RN) lead provides medical care to patients in their own homes, which includes administering medications, performing wound care, and monitoring vital signs. Key responsibilities and duties · Patient assessment : Conduct head-to-toe physical assessments, monitor vital signs, and evaluate the patient's progress and condition. · Care plan development and management : Create and update individualized care plans based on physician orders, physical assessments, and the patient's home environment. · Medical treatment: Administer prescribed medications and treatments, perform wound care, and manage medical equipment like IVs or catheters. · Patient and family education : Instruct patients and their families on how to manage their condition, administer medication, and follow care plans effectively. · Coordination of care : Collaborate with physicians, social workers, physical therapists, and other healthcare providers to ensure a cohesive and comprehensive care plan. · Documentation : Maintain accurate and detailed records of patient status, treatments, and progress, which is often necessary for reimbursement from insurance or government programs. · Oversee the delivery of quality care, supervising clinical personnel and ensuring compliance with agency standards and healthcare regulations. · Lead and inspire clinical teams and clinician retention. Operate in a dynamic environment, balancing administrative responsibilities with field-based interactions. Referral Management · Receive, review, and process referrals from hospitals, physicians, facilities, and community partners. Verify completeness of referral documentation (face-to-face, orders, insurance, demographics, diagnosis codes). Communicate promptly with referral sources to obtain missing information or clarification. Patient Eligibility & Verification · Confirm patient eligibility and coverage with payers (Medicare, Medicaid, Managed Care, Commercial Insurance). Validate primary care physician and attending provider credentials and NPI. Confirm patient location, service area, and insurance plan network participation. Coordination & Communication · Collaborate with clinical intake nurses, scheduling, and field staff for start-of-care assignments. Communicate admission readiness and patient details to clinicians and case managers. Compliance & Documentation · Confirm that physician orders, F2F (Face-to-Face), and consent forms are complete before admission. Tracking & Reporting · Maintain referral logs and update intake tracking dashboards daily. Monitor conversion rates (referrals → admissions) and report intake metrics to management. · Staff and operations management: o Recruit, train, and supervise nursing and support staff. o Create work schedules and ensure adequate staffing levels. o Oversee daily operations to ensure a safe and efficient environment. · Patient care oversight: o Develop and approve patient care plans in collaboration with physicians and patients. o Conduct clinical assessments and ensure quality of care is met. o Act as a liaison between patients, families, and the clinical team. · Administrative and compliance duties: o Ensure compliance with all state and federal healthcare regulations. o Monitor performance metrics and quality of care standards. Emotional support: Provide encouragement and emotional support to patients and their families, helping them cope with illness or injury. Ability to be flexible, adaptable, and committed to supporting the delivery of exceptional patient care. Lead the team in alignment with the agency’s mission, vision, and values. Promote a culture of accountability and continuous improvement. · Conduct ongoing assessments of clinicians to evaluate their understanding and compliance with policies and procedures. · Instruct on the use of patient and physician portals, use of EMR system, and clinician scheduling tools to enhance communication and care coordination. · Undertake other duties and responsibilities as delegated by the Head of Clinical Services. Clinical & Regulatory Knowledge · Understanding of Medicare home health and hospice eligibility criteria. · Familiarity with OASIS requirements, F2F encounter rules, and Plan of Care components. · Awareness of payer authorization processes (pre-authorization, re-certification). · Knowledge of HIPAA and patient privacy requirements. Technical & System Skills · Proficiency in home health EMR systems · Familiarity with portals for insurance verification. · Ability to handle fax, email, EHR referrals, and electronic intake workflows Skills and Qualifications · Strong clinical skills: Proficiency in performing assessments, administering treatments, and managing wounds. · Excellent communication: Ability to clearly communicate with patients, families, and the healthcare team. · Problem-solving abilities: Skill in adapting to unpredictable situations that may arise in a home environment. · Organizational skills: Capacity to manage multiple patients, detailed documentation, and a varied schedule. Strong leadership and time management skills. Minimum Requirements · Must have a current RN license (state-specific). · Minimum four years of experience in home health, hospice, or a related field. · Knowledge of healthcare regulations and home health standards of care. · Proficient in using electronic medical records (EMR) and other healthcare technologies.