The Workflow Clinical Manager is responsible for the daily work functions in all clinical information systems to ensure the care planning, utilization of services, and coordination of care. The focus of Workflow Clinical Manager is to provide clinical systems processes to safeguard patient centered care efficiently, effectively, and with the best possible outcomes. The Workflow Clinical Manager approves/disapproves all patient care plans, new and revised. The Workflow Clinical Manager is responsible for the daily work functions in all clinical information systems to ensure the care planning, utilization of services, and coordination of care. The focus of Workflow Clinical Manager is to provide clinical systems processes to safeguard patient centered care efficiently, effectively, and with the best possible outcomes. The Workflow Clinical Manager approves/disapproves all patient care plans, new and revised.
JOB SUMMARY
The Workflow Clinical Manager is responsible for the daily work functions in all clinical information systems to ensure the care planning, utilization of services, and coordination of care. The focus of Workflow Clinical Manager is to provide clinical systems processes to safeguard patient centered care efficiently, effectively, and with the best possible outcomes. The Workflow Clinical Manager approves/disapproves all patient care plans, new and revised.
PRIMARY JOB DUTIES
Oversees care planning, utilization services and coordination of patient care.
Ensures Home Care Home Base (HCHB) compliance with applicable regulations, policies, procedures, guidelines, and best practice standards.
Ensures effective and accurate utilization of HCHB, staff and resources in patient care delivery that is quality oriented and cost efficient.
Contributes to program effectiveness.
Organizes and performs work effectively and efficiently.
Maintains and promotes customer satisfaction.
1.0 50% QUALITY OF WORK:
1.1 25% Oversees and performs the daily work functions in the clinical information systems as evidenced by:
Approves or disapproves patient plan of care based on chart review phone calls and conferences.
Makes clinical information system recommendations for efficient and effective utilization of resources to achieve positive outcomes.
Recommends additional services to improve efficiency and effectiveness of the Plan of Treatment (IE: Utilization of, Medical Social Worker, Therapy, Palliative care, referral to hospice, etc.).
Direct team members in planning interventions and goals which are appropriate to the identified needs of their patients. Promotes fiscally responsible care for patients, reviewing all components of the plan of care to ensure the appropriate resources and services are included.
1.2 20% Ensures HCHB compliance with applicable regulations, policies, procedures, guidelines, and best practice standards as evidenced by:
Responds to requests for changes in plans of care, made in between case conference, and determines appropriateness of change(s).
Maintains knowledge of Federal, State and accreditation regulations as well as Agency Policy and Procedures.
Promotes the delivery of quality home health services by acting as a resource for team members in patient care coordination.
1.3 5% Contributes to program effectiveness as evidenced by:
Participates actively in agency initiatives to develop new programs and improve existing programs.
Actively participates in the design, implementation, and evaluation of at least one significant agency quality improvement project during each evaluation period.
2.0 30% PRODUCTIVITY/USE OF TIME
Maintain workflow processes for clinical operations systems.
Responds to internal and external emails/voice mails within 2 hours.
Maintains utilization statistics within national best practice benchmarks.
Optimizes clinical outcome scores as evidenced by Home Health Compare and its equivalents. Outcomes must not be below 85th percentile of national…