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Overview

Registered Nurse, Clinical Supervisor, HomeCare & Hospice

Full Time, 72 Hours Per Pay Period, Variable Shifts

Covenant HomeCare is East Tennessee’s largest locally owned homecare and hospice provider, with one of the largest rehabilitation departmentsin this area (https://www.covenanthomecareandhospice.com/locations/) . Since 1978, we have provided quality home healthcare to allow patients to live with comfort, dignity, and independence. We care for more than 4,700 patients in our HomeCare and Hospice program every year. Covenant HomeCare is accredited by theCommunity Health Accreditation Program (http://chapinc.org) . We are a proud member of Covenant Health (http://www.covenanthealth.com) , our region’s top-performing healthcare network.

Position Summary:

Responsible for quality nursing care of assigned group of homecare patients. The Packet Review/Quality Improvement (PR/QI) position is responsible for the review and approval of all patient information that is provided by the Licensed Professional during a Start of Care, Re-certification, Resumption of Care, or Evaluation visit. This position promotes quality patient care; ensures stable relationships with referral sources, patients, caregivers and employees; and is responsible for assisting with the training of agency staff. The PR/QI reports to the HomeCare or Hospice Clinical Manager.

Recruiter: Madeline Fornadel || mmajor1@covhlth.com || 865-374-5387

Responsibilities

• Complete review of evaluation packets, OASIS/HIS and 485/Plan of Cares (POC). Assures consistency with the comprehensive assessment and the 485/POC. Reviews both the data submitted from the field staff to ensure accuracy and follows up on any documentation that requires correction.

• Ensures that patient is appropriate for homecare/hospice based on required elements, including homebound status for homecare and eligibility guidelines for hospice.

• Ensures service utilization correlates with assessment data.

• Processes the OASIS/HIS and 485/POC, and verifies the correct start of care date and episode date range.

• Processes any unlisted supplies, medications, activity, functional limitations, allergies, etc. that appear on the action screen to assure completion of the 485/POC.

• Ensures that appropriate Care Types and Nursing Diagnosis Pathways (NDPs) are selected based on client’s medical condition and staff’s assessment data.

• Reviews ROC and Discharge Assessment Data to ensure accuracy and follows up on any documentation that requires correction.

• Processes the ROC and Discharge OASIS/HIS and orders.

• Conduct OASIS/HIS and documentation portions of the Job Specific Orientation in collaboration with Clinical Field Staff Supervisor and HomeCare Support Analyst.

• Assures that the client’s plan of care is completed and reassessed by the appropriate health care professional when there is a significant health status change in the client’s condition, at the physician’s request and after hospital discharge. Assures appropriate documentation is completed for all patients transferred to an inpatient facility.

• Identifies additional training needs for employees including OASIS/HIS documentation.

• Participate in on-call rotation

• Provides for ongoing supervision and evaluation of assigned Homecare staff.

• Reviews Infection Control reports for all clients. Provides/documents all follow up related to Infection Control Reports (both client and employee).

• Reviews Occurrence Reports. Provides/documents all follow up related to Occurrences.

• Participates in community awareness programs as necessary.

• Takes administrative on-call when required as a support to the on-call nurse and provides software management related to processing intakes, reviewing evaluation packets, and scheduling, moving, reassigning visits to ensure the smooth function of the agency during off hours.

• Follows up on OASIS/HIS Assessments that cannot be processed due to Licensed Professional document deficiencies.

• Serves as a back up to the Clinical Field Staff Supervisor (CFSS).

• Communicates information among departments as necessary for quality care and process improvement.

• Assists timekeeper with approvals and scheduling of CTO time.

• Analyzes and identifies excess staff, or need for additional staffing, according to approved staffing ratios and submits to Clinical Manager for approval/action.

• Assures accuracy, completeness and timeliness of all documentation.

• Develops action plan with staff for improvement of documentation deficiencies, evaluates progress and initiates disciplinary process as appropriate.

• Collaborates with Medical Record Specialist for monitoring completeness/correctness and timeliness of OASIS survey submission.

• Notifies leadership/billing office of failure to obtain orders for services provided.

• Schedules staff meetings regularly in collaboration with CFSS for all staff members to provide opportunity for education, problem solving and communication of information. Identifies opportunities for improvement in processes and communicates to Clinical Manager.

• Initiates disciplinary process with staff who are not meeting professional/ethical standards. Keeps Clinical Manager informed and seeks guidance as needed.

• Actively participates on agency committees, task forces and teams when requested

• Assures needs of team are met and reports needs to Clinical Manager.

• Serves as manager designee in the absence of the Clinical Manager.

• Participates in hiring of new employees in collaboration with CFSS and Managers.

• Collaborates with CFSS in conducting performance appraisals for clinical staff directly supervised and keeps Clinical Manager informed.

• Works with CFSS to insure all new employees complete required orientation and training.

• Participate in community awareness programs as necessary.

• Local travel required.

• Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested.

• Perform other related duties as assigned.

Qualifications

Minimum Education :

None specified; however, must be sufficient to meet the standards for achievement of the below indicated license and/or certification as required by the issuing authority.

Minimum Experience:

Three (3) years as home health field staff nurse preferred with broad experience in use of high tech equipment; knowledge of Medicare guidelines. Excellent communication skills; Conflict resolution skills; Effective teambuilding skills; Organization and Delegation skills; Ability to confront difficult situations effectively. Preference may be given to individuals with supervisory, management experience.

Licensure Requirement:

Must have and maintain a RN license in state of Tennessee. OASIS certification (may be obtained within one (1) year of employment). Hospice and Palliative Care Certification required for Hospice (may be obtained within one (1) year of employment). Employee must have and maintan a Tennessee driver’s license and state mandated minimum insurance coverage. Driving record must meet Covenant Health minimum standards at the date of hire and throughout employment tenure.

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Job Title CLIN SUPV-HC

ID 4174935

Facility Covenant Home Care

Department Name ADMINISTRATION