Clinical Team Manager Registered Nurse HH San Antonio Texas - Optum : Job Details

WellMed, part of the Optum family of businesses, is seeking a Clinical Team Manager Registered Nurse HH to join our team in San Antonio, TX. Optum is a clinician-led care organization that is changing the way clinicians work and live.

As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone.

At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.

The Clinical Team Manager is an RN position who performs management/ supervision functions in coordination of all clinical disciplines including: skilled nursing, home health aide, physical therapy, occupational therapy, speech therapy, and medical social services. The Clinical Team Manager coordinates patient care on all activities and assumes responsibility for continuity, appropriateness and quality of services delivered within the home health department. The Clinical Team Manager assists with the day-to-day scheduling of staff, monitors performance of staff, assists in the orientation of staff and serves on committees to improve operations. The Clinical Team Manager performs all functions in a professional and ethical manner and collaborates with other members of the health care team to ensure the provision of quality care. The Clinical Team Manager is responsible for verification of appropriate incoming orders obtaining physician orders and completion of orders. Receive and respond to all incoming calls from referral sources or potential patients, exchange information to identify patients' needs, and determine the Company's ability to meet them. The Clinical Team Manager is responsible for communication with the scheduling coordinator in reference to new physician orders and assuring the patient is staffed appropriately along with the reviewing of unassigned patient visits and assisting with the staffing of the patient visits with the appropriate field staff member. Responsible for performing on call for home health department approximately one week per month or dependent on the needs of the department. Clinical Team Manager will work under the supervision of the Clinical Team Manager Lead per branch and/or Director of Nursing for home health for that branch, or VP of home health.

Position Highlights & Primary Responsibilities:

• Manages the recruitment, hiring, and development of sufficient clinical and non-clinical staff to ensure the delivery of safe and consistent quality care to all patient/clients 24/ 7
• Participates and assists in orientation and training of clinical and paraprofessional staff
• Ensures that on-site supervisory requirements of designated staff are met on a timely basis
• Demonstrates an effective leadership style and solves problems in an efficient and logical manner after accurately analyzing facts
• Assures that clinical staff have demonstrated the ability to perform accurate and complete assessments, communicate with physicians, plan for service delivery, plan for discharge, and make excellent professional decisions
• Manages the assignment of staff, monitoring of daily and weekly schedules, and the matching of caregiver qualifications to patient/client needs and geographical location, Manage quality through patient/client care appraisals and employee supervision
• Manages documentation to ensure that the patient/client's clinical record meets legal and regulatory requirements, facilitates care, enhances the continuity of care, helps coordinate treatment and evaluation of the patient/client, and establishes medical necessity so payers will reimburse for the services that are provided
• Develops and maintains a working knowledge of all services and resources available within the company and the community. Directs staff to meet patient/client needs through the identification and use of all available resources
• Ensures that a client's plan of care is executed as written and per physician orders
• Ensures that a reassessment of a client's needs is performed by the appropriate health care professional
• When there is a significant health status change in the client's condition; at the physician's request; or after hospital discharge
• Annual evaluations of staff according to company policy and procedures and federal/state regulations
• Manages ongoing skill evaluations to assure that the staff's abilities are consistent with the needs of individual patient/clients and the marketplace
• Supervises clinical processes by managing staff and ensuring flow of information and documentation from inquiry through discharge of all patient/clients
• Provides support and documentation needed to facilitate reimbursement
• Provides information that enables the collection and root-cause analysis of data to identify opportunities for improvement, develops/oversees the development and implementation of action plans that result in continuous quality improvement
• Assists in the coordination of patient services, to include lab reports, updated patient reports, and interdisciplinary communication
• Receives and coordinates patient referrals from case managers, physicians, and other referral sources
• Participates in interdisciplinary care conferences, Agency programs and management functions, as assigned
• Monitors documentation and paper flow to ensure records are accurate and timely and adhere to Medicare and other payer guidelines
• Ensures that clinical notes, supply log/visit logs are accurate and turned into the office according to Agency policy
• Investigates patient/family complaints promptly and takes corrective action as needed
• Makes home visits to provide patient care as needed
• Recognizes and reports life threatening situations and responds appropriately
• Demonstrates knowledge of emergency procedures and responds appropriately
• Participates in the Agency's endeavors for accreditation, licensing and professional recognition according to state, federal or CHAPs requirements
• Assists Director of Clinical Services in the development of Performance Improvement Plan reports to include achieved goals, opportunities for improvement, statistical data and projections
• Participates in home care Performance Improvement Program activities to continuously improve the quality of patient care
• Serves as a resource person for clinical staff and management in matters pertaining to Performance Improvement
• Participates in periodic review of clinical records to promote quality patient care
• Educates clinical staff on documentation standards and patient care as needed
• Monitors assigned cases to ensure compliance with requirements of third party payers
• Attends all required in-service programs to maintain comprehensive home care knowledge base within the review year, as assigned by supervisor
• Demonstrates effective time management skills by completing assignments within projected time frames
• Expresses verbal and written communication in a clear, positive and cooperative manner
• Demonstrates personal responsibility with regards to attendance and punctuality
• Promotes Agency philosophy, mission statement and administrative policies to ensure quality of care
• Maintains privacy and confidentiality with regards to all patient, staff and Agency information
• Provides positive, supportive communication to patients, families, visitors, physicians and other personnel
• Promotes the Agency image by adhering to the Dress Code
• Meets productivity requirements based on Agency standard
• Demonstrates knowledge and observance of the Patient's Bill of Rights
• Follows all infection control, standard precautions, and safety guidelines/standards per Agency policy
• Follows the appropriate chain of command in all forms of communication
• Demonstrates flexibility, enthusiasm and willingness to cooperate while working with others or in place of others as necessary
• Must be flexible with work schedule, able to work weekdays-on call and weekends per assigned schedule
• Performs other duties as assigned

In 2011, WellMed partnered with Optum to provide care to patients across Texas and Florida. WellMed is a network of doctors, specialists and other medical professionals that specialize in providing care for more than 1 million older adults with over 16,000 doctors' offices. At WellMed our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. WellMed has more than 22,000+ primary care physicians, hospitalists, specialists, and advanced practice clinicians who excel in caring for 900,000+ older adults. Together, we're making health care work better for everyone.

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• Graduate of an accredited school of nursing
• Current licensure as a Registered Licensed Nurse in good standing with the Board of Nurse Examiners for the State of Texas
• Ability to maintain certification in Basic Cardiac Life Support Course C
• Demonstrated familiarity with medical terminology and equipment. Additional education and/or experience may be required by individual state regulations
• Evidence of independent nursing practice in delivering nursing care
• 3+ years of experience as a RN in an acute care setting or general medical/surgical setting
• Proven basic knowledge of governmental regulations, Medicare (Medicaid, as required), regulations, and company policies and procedures
• Proven good organization, communication, human relations skills, and access to reliable transportation
• Proven self-motivation, assertiveness and independent decision-making skills
• Proven intermediate PC skills (Excel, PowerPoint, Word, Visio, Outlook, SharePoint)
• Demonstrated ability to read and follow written and verbal instructions in English effectively
• Demonstrated ability to operate computer terminal, printer, fax and copier machines
• Ability to travel
• This position requires Tuberculosis screening as well as proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through lab confirmation of immunity, documented evidence of vaccination, or a doctor's diagnosis of disease

Preferred Qualifications:

• Experience in a community health or home health setting
• Supervisory experience
• Proven knowledge of general office procedures
• Proven excellent computer skills and knowledge of word processing and excel
• Home Health experience

Competencies:

• Maintain privacy and confidentiality with regard to all patient, staff & agency information
• Problem solving skills
• Interpersonal skills
• Communication proficiency (oral & written)
• Project & time management skills
• Ethical conduct - follows appropriate chain of command
• Adaptability & dependability
• Safety & security
• Thoroughness

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.