1. Makes patient and personnel assignments: Facilitates schedules for patient visits by team members and informs team members of any special requirements for patient care.
2. Coordinates patient care with the interdisciplinary team and serves as a role model and resource person to team; assures the patient needs are continually assessed, with the development, implementation and updates of the individualized plan of care for each patient.
3. Conducts and participates in patient care conferences/team meetings using an interdisciplinary approach.
4. Facilitates discharge planning and coordinates with other disciplines to meet patient discharge needs.
5. Coordinates with the patient/family and significant others, physician responsible for home health plan of care, home health team members and other health care providers regarding patient care needs.
6. Ensures that documentation by each clinical team member is complete, accurate and timely per agency guidelines.
1. Reviews and provides feedback regarding completeness, accuracy and timeliness of clinical documentation.
2. Completes annual employee performance evaluations, assists in setting annual performance goals and provides feedback.
3. Oversees orientation of new clinical staff and completion of new employee’s skills checklist.
1. Coordinates patient caseloads to provide consistent quality care and visit frequency per agency established productivity guidelines.
2. Reviews schedules daily to ensure visit coverage and address specific patient/family issues.
3. Responsible for completion of weekend schedules and on-call rotation schedules.
4. Monitors, evaluates, and promotes collaborative, productive team functioning of all team members.
5. Directs staff to appropriate resources to enhance delivery of care.
6. Assists clinicians with clinical record documentation including computerized record.
7. Promotes open communication, positive physician/staff interactions and the timely resolution of issues, collaborating with others including the Administrator.
8. Assesses and adjusts staffing to provide for changing patient care needs.
9. Performs delegated responsibilities, utilizing the appropriate chain of command.
10. Assists Administrator and provides follow-up relative to events, complaints, concerns and/or issues in a timely manner
1. Demonstrates commitment to and support of the mission, vision, and values of the organization.
2. Manages competing demands for time and resources independently, and prioritizes work responsibilities appropriately.
3. Plans, oversees, documents and effectively manages clinical staff meetings.
4. Encourages collaboration among team members to promote morale and productivity.
5. Effectively delegates responsibilities to appropriate members of home health team.
6. Promotes effective planning and utilization of agency resources for efficient and cost-effective delivery of quality patient care.
7. Maintains ongoing communication with the Administrator as appropriate, relative to provision of care and practice issues.
8. Serves as a resource in problem-solving, mediating, and negotiating between home health team members.
9. Acts as a role model in the development of clinical staff including training on appropriate clinical documentation and OASIS processes.
10. Empowers the interdisciplinary team to take ownership of their actions and responsibilities.
11. Collaborates in strategic planning with the Administrator obtaining input as needed from the home care team and staff supervised. .
12. In absence of Administrator, is capable of managing the agency and acting on his/her behalf.
13. Demonstrates professionalism through accountability and confidentiality.
14. Understands and follows confidentiality and HIPAA guidelines in order to implement the proper process for accessing/maintaining usage of electronic medical records.
15. Reports all appropriate/relevant information regarding the agency activities to the PAC.
1. Listens attentively to the needs of others.
2. Demonstrates the highest degree of customer awareness by seeking out opportunities to identify and meet the needs of internal and external customers.
3. Treats each person as an individual with respect and dignity.
4. Is receptive to questions and criticism, and willing to offer assistance.
5. Maintains accountability for patient satisfaction throughout the episode of care.
6. Demonstrates ability to resolve conflict situations.
7. Consistently performs all of the above in a friendly, courteous manner.
1. Assists in the Quality Assessment/ Performance Improvement process by finding opportunities for monitoring and identifying patient outcomes and ways to improve relative to agency programs and environmental concerns.
2. Displays a willingness to utilize problem-solving techniques to ensure appropriate interventions and resolutions.
3. Manages safety/infection control program.
4. Oversees clinical team participation in quarterly clinical record review.
1. Demonstrates commitment to own professional development and participation in professional organizations.
2. Maintains a collaborative relationship with peers.
3. Completes required competencies per agency guidelines and to maintain licensure.
4. Participates in continuing education activities and shares information with other staff members.
1. Implements any other duties as may be assigned by Administrator.
2. Understands and complies with the Medicare Conditions of Participation as a Home Health Agency and State Home Health Licensure Guidelines.
3. Attends and organizes the PAC meetings.
4. Oriented to roles and responsibilities of Administrator in order to act on his/her behalf in his/her absence with the same responsibilities and obligations. Has completed competency assessment/skills checklist for Administrator role.