Patient Care Administrator

Vitas Healthcare
Fairfax, VA
The Patient Care Administrator is a member of the Senior Management Leadership Team, and is responsible for maintaining overall clinical, fiscal, and financial integrity of patient care, while meeting internal and external customer needs
JOB RESPONSIBILITIES

* Patient Care Services
* Assures that the mission, philosophy and values of VITAS are upheld in the delivery of patient care services.
* Ensures that Hospice care is provided to the ultimate satisfaction of patients and their families.
* Actively collaborates with Team Manager(s), Medical Director, and Admissions Department on clinically complex cases.
* Works in collaboration with the Admissions Manager to ensure patient care resources are available for pending admissions.
* Acts as a clinical resource in collaboration with the Medical Director.
* Works in collaboration with the Medical Director and the Senior Management team regarding the process for all alive discharges in the program.
* Oversee the program clinical operations staff adherence to policies, procedures, and standards.
* Staff Supervision and Management
* Responsible for the oversight of hiring, training, supervising, coaching and mentoring of clinical operations staff
* Interviews, hires, supervises, mentors and evaluates the performance of direct reports.
* Oversee and participate as needed in counseling and termination of clinical operations staff.
* Facilitates and participates in regular meetings with direct clinical operations leadership team.
* Recurring individual mentoring meetings with direct reports onsite and in the field.
* Ensures that the clinical managers are efficiently managing resources to meet patient and family needs.
* Assume responsibility of program management roles as needed
* Identify potential key leaders and mentor for career succession.
* Participates as a mentor for orientation and ongoing development.
* Quality Improvement/Regulatory Compliance
* Collaborates with senior management, direct reports, performance improvement specialist, and other programs in identification of trends, and potential Performance Improvement Plans as well as participating in and providing overall direction for clinical Performance Improvement Plans.
* Ensures all program-required audits are completed.
* Collaborates with Medical Records Claims Review Team for external audits and records requests, to ensure timely and accurate submission of requested documentation.
* Proactively prepares for potential internal and external surveys, assuring compliance with policies, procedures, standards, Federal, State and local regulations are followed.
* Actively participates in internal and external committees relevant to the program.
* Customer Service/Sales and Marketing
* Works in conjunction with program management in identifying referral sources and additional educational requests.
* Actively participates in sales/admissions meetings.
* Ensures that patient/family grievances are resolved timely and satisfactorily
* Ensures proactive customer service and process/standards are followed.
* Fosters relationship with external customers, referral sources, and regulatory personnel including soliciting feedback
* Participates in community functions and professional organization as required
* Works in collaboration with the senior management team to foster employee satisfaction.
* Resource Management
* Identifies opportunities in resource management and utilization by oversight and review of clinical operations including but not limited to labor, pharmacy, medical supplies, equipment and mileage.
* Utilizes trend reports, dashboards, income statements, financials and other reports to identify trends and opportunities for Performance Improvement Plans.
* Responsible for development and implementation of Action Plans associated with identified areas of improvement.
* Collaborates with senior management in the budget and strategic planning process.

JOB REQUIREMENTS

* The ability to utilize and analyze management reports.
* Excellent communication skills
* Strong interpersonal skills within all levels of the organization

QUALIFICATIONS

* Current Registered Nurse License to practice in the state where the VITAS Program is located.
* Two years of home health and hospice experience.
* Four years of healthcare management experience.
* Hands-on fiscal and budgetary experience.

PCA Requirements and Qualifications by State: VA

* Regulation
* Virginia Administrative Code, Title 12, Health Agency 5, Chapter 391: Regulations for the Licensure of Hospice12VAC5-391-340. Nursing Services.

* PCA Requirements and Qualifications
* Supervising nurse is required
* RN

EDUCATION

* Bachelor's degree in Nursing or related field from an accredited college or university or the international equivalent preferred. See table above for specific requirements per state.

SPECIAL INSTRUCTIONS TO CANDIDATES

* EOE/AA M/F/D/V
New
7d ago

Program Scheduler

Vitas Healthcare
Vienna, VA
* Process new referrals that arrive directly to the program in the manor best fitting the needs of the referral source.

* Participates in morning check in meeting with designated Admissions Coordinator to review staffing/scheduling needs for the day. Call to be completed prior to 9am local time.

* Participates in morning check-in meeting with Admissions Manager to review staffing/scheduling needs for the day. Check-in to be completed prior to 9am local time.

* Provides a concierge level of customer service to every caller by implementing the VITAS Call Center Quality Management standards of call scripting
* Supports Admissions team to exceed program goals.
* Establishes a rapport and maintains an effective relationship with all internal and external Vitas customers.
* Enters accurate information to support data integrity in VITAS computer applications.
* Responds accurately to all questions received regarding services provided by Vitas.
* Offers and/or confirms a same day appointment and/or the appointment time that is as close as possible based on the request of the patient and/or referral source to ensure a timely admission.
* Escalates matters to Admissions Manager when assistance or clarification is needed.
* Follows the VITAS Admissions Standard for contingency staffing
* Participates in ongoing training and development based on the changing healthcare environment.
* Notifies Admissions Staff of all scheduled appointments within their working hours of 8am-8pm local time.
* Notifies VITAS Marketing Representatives of all new referrals within their working hours of 8am-8pm local time.
* Utilizes Appointments Everywhere to effectively facilitate the scheduling/updating of appointments.

QUALIFICATIONS

* Two or more years related experience in medical terminology and/or in a call center environment
* Ability to attain goals in a fast-paced, dynamic environment
* Ability to exercise considerable judgment and discretion in establishing and maintaining strong partnering relationships with internal and external callers
* Superior ability to effectively communicate at all levels of the customer interaction to include both verbally and in writing to provide a concierge level of service
* Working knowledge of computers, internet access, and the ability to navigate within an automated systems and a variety of software packages, and type minimum 45 wpm
* Prior experience in working collaboratively with other functional leaders to drive action plans.
* Must be highly organized and able to manage multiple responsibilities and work on various assignments simultaneously
* Model positive behaviors that are focused on supporting: integrity, valuing diversity, innovation, building relationships, customer focus and teamwork.
* Ability to communicate tactfully with department heads, managers, coworkers and vendors to resolve problems and negotiate resolutions

EDUCATION

* Completion of high school or basic education equivalency preferred
* Bilingual in Spanish/English a plus
* Medical or business office education or training desired

SPECIAL INSTRUCTIONS TO CANDIDATES

* EOE/AA M/F/D/V
New
7d ago

Registered Nurse Home Care On Call

Vitas Healthcare
Fairfax, VA
Case Management and Supervision

* Follows VITAS policies and standards (See VITAS Standards Manual) and practices within the scope of the RN license
* Reports any request to practice outside of scope of license to the manager/supervisor
* Supervision of (VITAS employed and contracted) nursing tasks delegated to Hospice Aides, Licensed Practical/Vocational Nurses (and contracted Registered Nurses) and Volunteers per the plan of care
* Completes initial and ongoing comprehensive assessments including physical, psychosocial, spiritual, and bereavement
* Appropriately identifies/utilizes resources, referrals such as PT, OT, Home Health, Dietary, Pharmacy, Supplies, Home Medical Equipment, and other visits/consults
* Completes documentation at the time of the event and at the location of care unless otherwise directed
* Provides education to patients, families, caregivers and referral sources
* Participates in patient care meetings as assigned
* Participates in weekly team meetings
* Provides effective communication/shift reports through written, verbal, reporting and body language
* Participates in bereavement support
* Participates in the on-call rotation and/or provides shifts during non-business hours such as evenings, weekends and holidays based upon program-identified needs
* Provides visits/shifts in program coverage area
* Develops, coordinates, and follows the patient's individualized plan of care
* Appropriately delegates nursing tasks to Hospice Aides/Homemakers, Volunteers, and Licensed Practical/Vocational Nurses
* All factors pertinent to the patient's safety, including the competence of the Hospice Aide/Homemaker have been assessed
* Determination that this activity can be delegated safely to a Hospice Aide/Homemaker

* Connecticut -For activities other than those listed in section 1913D69(d)(3)of the Connecticut Department of Public Health delegated to a Hospice/Homemaker, the RN will document in the clinical record that:
* Provides nursing care including nursing tasks that may be delegated to other roles such as LPNs, HHAs and Volunteers
* Participates in and monitors patient and family care compliance activities
* Professionally manages/coordinates the hospice plan of care
* Provides and follows infection control practices
* Delivers care in accordance with the patient's plan of care
* Provides primary nursing care for inpatient and continuous care patients as assigned

Quality Improvement

* Participates in the Quality Assessment and Performance Improvement (QAPI) Program and related activities as assigned. This may include, but is not limited to
* participation in Performance Improvement Project(s) (PIP)
* Gathering clinical data which is used for quality measures

Professional Development

* Develops and achieves professional growth goals and objectives personally and per Team Manager reviews
* Responsible for attending orientation and regularly scheduled in-services/educational conferences as assigned
* Participates in orientation of Hospice Aides, Volunteers and other IDG members as assigned
* Participates in training activities internally within VITAS and externally as assigned

Customer Service

* Maintains focus on the patient and family experience of care
* Serves as a patient and family advocate
* Reports patient/family/customer complaints to Team Manager
* Participates in patient/family/customer conflict resolution as applicable.
* Represents the nursing profession, the VITAS site/location and VITAS overall in a positive manner

QUALIFICATIONS

* Currently licensed as a R.N. in the state where the VITAS program is located.
* A minimum of two years experience in hospice, home health, or community health experience in the last five years.

EDUCATION

* RN license

SPECIAL INSTRUCTIONS TO CANDIDATE

* EOE/AA M/F/D/V
New
7d ago

Patient Care Administrator

Vitas Healthcare
Vienna, VA
The Patient Care Administrator is a member of the Senior Management Leadership Team, and is responsible for maintaining overall clinical, fiscal, and financial integrity of patient care, while meeting internal and external customer needs
JOB RESPONSIBILITIES

* Patient Care Services
* Assures that the mission, philosophy and values of VITAS are upheld in the delivery of patient care services.
* Ensures that Hospice care is provided to the ultimate satisfaction of patients and their families.
* Actively collaborates with Team Manager(s), Medical Director, and Admissions Department on clinically complex cases.
* Works in collaboration with the Admissions Manager to ensure patient care resources are available for pending admissions.
* Acts as a clinical resource in collaboration with the Medical Director.
* Works in collaboration with the Medical Director and the Senior Management team regarding the process for all alive discharges in the program.
* Oversee the program clinical operations staff adherence to policies, procedures, and standards.
* Staff Supervision and Management
* Responsible for the oversight of hiring, training, supervising, coaching and mentoring of clinical operations staff
* Interviews, hires, supervises, mentors and evaluates the performance of direct reports.
* Oversee and participate as needed in counseling and termination of clinical operations staff.
* Facilitates and participates in regular meetings with direct clinical operations leadership team.
* Recurring individual mentoring meetings with direct reports onsite and in the field.
* Ensures that the clinical managers are efficiently managing resources to meet patient and family needs.
* Assume responsibility of program management roles as needed
* Identify potential key leaders and mentor for career succession.
* Participates as a mentor for orientation and ongoing development.
* Quality Improvement/Regulatory Compliance
* Collaborates with senior management, direct reports, performance improvement specialist, and other programs in identification of trends, and potential Performance Improvement Plans as well as participating in and providing overall direction for clinical Performance Improvement Plans.
* Ensures all program-required audits are completed.
* Collaborates with Medical Records Claims Review Team for external audits and records requests, to ensure timely and accurate submission of requested documentation.
* Proactively prepares for potential internal and external surveys, assuring compliance with policies, procedures, standards, Federal, State and local regulations are followed.
* Actively participates in internal and external committees relevant to the program.
* Customer Service/Sales and Marketing
* Works in conjunction with program management in identifying referral sources and additional educational requests.
* Actively participates in sales/admissions meetings.
* Ensures that patient/family grievances are resolved timely and satisfactorily
* Ensures proactive customer service and process/standards are followed.
* Fosters relationship with external customers, referral sources, and regulatory personnel including soliciting feedback
* Participates in community functions and professional organization as required
* Works in collaboration with the senior management team to foster employee satisfaction.
* Resource Management
* Identifies opportunities in resource management and utilization by oversight and review of clinical operations including but not limited to labor, pharmacy, medical supplies, equipment and mileage.
* Utilizes trend reports, dashboards, income statements, financials and other reports to identify trends and opportunities for Performance Improvement Plans.
* Responsible for development and implementation of Action Plans associated with identified areas of improvement.
* Collaborates with senior management in the budget and strategic planning process.

JOB REQUIREMENTS

* The ability to utilize and analyze management reports.
* Excellent communication skills
* Strong interpersonal skills within all levels of the organization

QUALIFICATIONS

* Current Registered Nurse License to practice in the state where the VITAS Program is located.
* Two years of home health and hospice experience.
* Four years of healthcare management experience.
* Hands-on fiscal and budgetary experience.

PCA Requirements and Qualifications by State: VA

* Regulation
* Virginia Administrative Code, Title 12, Health Agency 5, Chapter 391: Regulations for the Licensure of Hospice12VAC5-391-340. Nursing Services.

* PCA Requirements and Qualifications
* Supervising nurse is required
* RN

EDUCATION

* Bachelor's degree in Nursing or related field from an accredited college or university or the international equivalent preferred. See table above for specific requirements per state.

SPECIAL INSTRUCTIONS TO CANDIDATES

* EOE/AA M/F/D/V
New
7d ago

Licensed Practical Nurse Home Care

Vitas Healthcare
Vienna, VA
The Licensed Practical Nurse administers nursing care according to the plan of care to terminally ill patients admitted to the VITAS program, in accordance with the Nurse Practice Act in the state where the VITAS program is located.
* Provides direct skilled bedside nursing care.
* Evaluates patient /family needs in the preparation and executions of the interdisciplinary plan of care for each patient on the team and the effectiveness of treatments and monitors patients reactions.
* Performs selected acts in care of the terminally ill under the direct supervision of a registered nurse; such acts include the administration of treatments and medications.
* Participates in Nurse LPN on- call rotation/schedule in order to meet the needs of patients and families.

QUALIFICATIONS

* Currently licensed to practice nursing in the state where the VITAS program is located.
* At least one year, preferably two years, of satisfactory nursing experience, at least one year of which is as an LPN/LVN in a hospital, hospice, home health, or community health setting.

EDUCATION

* Graduate of an approved school of Practical/Vocational nursing

SPECIAL INSTRUCTIONS TO CANDIDATE

* EOE/AA M/F/D/V
New
7d ago

Registered Nurse Home Care

Vitas Healthcare
Fairfax, VA
Case Management and Supervision

* Follows VITAS policies and standards (See VITAS Standards Manual) and practices within the scope of the RN license
* Reports any request to practice outside of scope of license to the manager/supervisor
* Supervision of (VITAS employed and contracted) nursing tasks delegated to Hospice Aides, Licensed Practical/Vocational Nurses (and contracted Registered Nurses) and Volunteers per the plan of care
* Completes initial and ongoing comprehensive assessments including physical, psychosocial, spiritual, and bereavement
* Appropriately identifies/utilizes resources, referrals such as PT, OT, Home Health, Dietary, Pharmacy, Supplies, Home Medical Equipment, and other visits/consults
* Completes documentation at the time of the event and at the location of care unless otherwise directed
* Provides education to patients, families, caregivers and referral sources
* Participates in patient care meetings as assigned
* Participates in weekly team meetings
* Provides effective communication/shift reports through written, verbal, reporting and body language
* Participates in bereavement support
* Participates in the on-call rotation and/or provides shifts during non-business hours such as evenings, weekends and holidays based upon program-identified needs
* Provides visits/shifts in program coverage area
* Develops, coordinates, and follows the patient's individualized plan of care
* Appropriately delegates nursing tasks to Hospice Aides/Homemakers, Volunteers, and Licensed Practical/Vocational Nurses
* All factors pertinent to the patient's safety, including the competence of the Hospice Aide/Homemaker have been assessed
* Determination that this activity can be delegated safely to a Hospice Aide/Homemaker

* Connecticut -For activities other than those listed in section 1913D69(d)(3)of the Connecticut Department of Public Health delegated to a Hospice/Homemaker, the RN will document in the clinical record that:
* Provides nursing care including nursing tasks that may be delegated to other roles such as LPNs, HHAs and Volunteers
* Participates in and monitors patient and family care compliance activities
* Professionally manages/coordinates the hospice plan of care
* Provides and follows infection control practices
* Delivers care in accordance with the patient's plan of care
* Provides primary nursing care for inpatient and continuous care patients as assigned

Quality Improvement

* Participates in the Quality Assessment and Performance Improvement (QAPI) Program and related activities as assigned. This may include, but is not limited to
* participation in Performance Improvement Project(s) (PIP)
* Gathering clinical data which is used for quality measures

Professional Development

* Develops and achieves professional growth goals and objectives personally and per Team Manager reviews
* Responsible for attending orientation and regularly scheduled in-services/educational conferences as assigned
* Participates in orientation of Hospice Aides, Volunteers and other IDG members as assigned
* Participates in training activities internally within VITAS and externally as assigned

Customer Service

* Maintains focus on the patient and family experience of care
* Serves as a patient and family advocate
* Reports patient/family/customer complaints to Team Manager
* Participates in patient/family/customer conflict resolution as applicable.
* Represents the nursing profession, the VITAS site/location and VITAS overall in a positive manner

QUALIFICATIONS

* Currently licensed as a R.N. in the state where the VITAS program is located.
* A minimum of two years experience in hospice, home health, or community health experience in the last five years.

EDUCATION

* RN license

SPECIAL INSTRUCTIONS TO CANDIDATE

* EOE/AA M/F/D/V
New
5d ago

Team Manager Home Care

Vitas Healthcare
Vienna, VA
The Team Manager is the leader of the Patient Care Team and that member of the team whose function is to: supervise, evaluate and coordinate the various component members of the interdisciplinary team; assure continuity of care from admission to discharge or transfer to bereavement; serve as patient advocate and coordinator for other social service and health care providers in the community who are involved in the care of the team's patients; assume responsibility for the maintenance of patient records from intake through discharge or transfer to bereavement.
Patient Care Services

* Directs all patient care services for the team, including volunteer and bereavement, and ensures that services are rendered as integrated components of the interdisciplinary plan of care.
* Reviews information on all pending patient admissions, all new admissions (assessments and history) and "alive" discharges to assure that eligibility and appropriateness criteria are met.
* Collaborates with both the team physician and the attending physician regarding palliative care measures for pain and symptom management.
* Assures complete and accurate data and documentation are available to make recertification decisions and further assures that those decisions are made on a timely basis.
* Reviews all imminent "alive" discharges to assure effective discharge planning.
* Monitors the type and level of team services provided (staffing, medications, HME, supplies, level of care changes to inpatient and continuous care, etc.) to assure that they are appropriate and responsive to patient/family needs and expectations.
* Manages the team schedule and assures coordination of services 24 hours a day, 7 days a week to all patients on the team.
* Facilitates team meeting, assuring interdisciplinary input into the update and revision of the plan of care in concert with the changing needs and expectations of the patient and family.
* Participates in on-call rotation.

Staff Supervision and Management

* Interviews, selects, trains, supervises, evaluates and dismisses team staff in conjunction with the Patient Care Administrator
* Assures staff competence and performance levels through making field visits, evaluating documentation and providing team based in services on Vitas values, hospice principles and practices and specific team growth needs.
* Acts as a resource and mentor for staff re clinical issues, documentation, inter- and intra- team problem solving and appropriate customer service behavior
* Oversees staff and volunteer schedules, scheduling and territory assignments to assure that workload is distributed equitably and that all staff are able to meet overall productivity expectations.
* Reviews and approves payroll, assuring that employees have documented accurate time, mileage and additional expenses.

Quality Improvement/Regulatory Compliance

* Monitors clinical records and all team activities to ensure that they are accurate, complete and meet required standards in accordance with VITAS policy and all regulatory bodies.
* Develops and implements performance improvement activities to respond to service issues and challenges and participates from time to time in program relating to quality and service improvement.
* Ensures that team completes proactive and other patient/family satisfaction surveys, and implements Quality Improvement measures and standards.
* Assists with surveys and requests from regulatory bodies and intermediaries as directed by local program.
* Performs substantive chart reviews to assure there is evidence that quality care is being delivered.
* Participates in the Outcomes Management and annual program review.
* Performs utilization review of continuous care and inpatient levels of care for all patients on team.

Customer Service/Sales/Marketing

* Assures that problems/grievances/service failures experienced by individual patients/families or physicians/MCOs are addressed with team members, vendors, other VITAS departments, and are resolved promptly and satisfactorily.
* Analyzes customer service issues on team to identify causes and works with individual team members as well as entire team to improve performance.
* Personally speaks with patients/families and their attending physicians when patient is considering revocation to seek satisfactory solutions to avoid unnecessary revocation.
* Regularly visits LTC and Contract Bed facilities to assure care plan integration, customer satisfaction and to discuss criteria for determining appropriateness.
* Participates in providing inservices to customers along with other team members, Patient Care Administrators and other program staff.
* Participates in professional, voluntary or community service organizations

Cost Containment

* Verifies/approves admitting IPOC diagnosis, treatments, staffing and supplies.
* Monitors utilization of resources by every patient to assure cost effective delivery of services.
* Controls and is accountable for productivity, labor and all related patient care costs with respect to budget.
* Approves all bills/invoices related to patient care services

Professional Development

* Attends inservices, educational seminars and workshops.
* Develops and achieves professional growth goals and objectives.
* Participates as a mentor of newly hired Team Managers.

QUALIFICATIONS

* Reliable transportation with appropriate license and insurance coverage for driver and passengers.
* Private telephone in home.
* Knowledge of the principles and practices of primary medical and nursing care, with at least a working knowledge of oncologic nursing and palliative care.
* Basic understanding of the interpersonal dynamics operative within the working relationships of an interdisciplinary health care team, and knowledge of the process of dying and bereavement.
* Working knowledge of VITAS information system (Vx) and the ability to utilize management reports.
* Two years successful supervisory experience or equivalent in a health care organization.

EDUCATION

* Bachelor's degree preferred.
* Current and valid R.N. License to practice in the state where the VITAS program is located.

SPECIAL INSTRUCTIONS TO CANDIDATE

* EOE/AA M/F/D/V
New
5d ago

Program Scheduler

Vitas Healthcare
Fairfax, VA
* Process new referrals that arrive directly to the program in the manor best fitting the needs of the referral source.

* Participates in morning check in meeting with designated Admissions Coordinator to review staffing/scheduling needs for the day. Call to be completed prior to 9am local time.

* Participates in morning check-in meeting with Admissions Manager to review staffing/scheduling needs for the day. Check-in to be completed prior to 9am local time.

* Provides a concierge level of customer service to every caller by implementing the VITAS Call Center Quality Management standards of call scripting
* Supports Admissions team to exceed program goals.
* Establishes a rapport and maintains an effective relationship with all internal and external Vitas customers.
* Enters accurate information to support data integrity in VITAS computer applications.
* Responds accurately to all questions received regarding services provided by Vitas.
* Offers and/or confirms a same day appointment and/or the appointment time that is as close as possible based on the request of the patient and/or referral source to ensure a timely admission.
* Escalates matters to Admissions Manager when assistance or clarification is needed.
* Follows the VITAS Admissions Standard for contingency staffing
* Participates in ongoing training and development based on the changing healthcare environment.
* Notifies Admissions Staff of all scheduled appointments within their working hours of 8am-8pm local time.
* Notifies VITAS Marketing Representatives of all new referrals within their working hours of 8am-8pm local time.
* Utilizes Appointments Everywhere to effectively facilitate the scheduling/updating of appointments.

QUALIFICATIONS

* Two or more years related experience in medical terminology and/or in a call center environment
* Ability to attain goals in a fast-paced, dynamic environment
* Ability to exercise considerable judgment and discretion in establishing and maintaining strong partnering relationships with internal and external callers
* Superior ability to effectively communicate at all levels of the customer interaction to include both verbally and in writing to provide a concierge level of service
* Working knowledge of computers, internet access, and the ability to navigate within an automated systems and a variety of software packages, and type minimum 45 wpm
* Prior experience in working collaboratively with other functional leaders to drive action plans.
* Must be highly organized and able to manage multiple responsibilities and work on various assignments simultaneously
* Model positive behaviors that are focused on supporting: integrity, valuing diversity, innovation, building relationships, customer focus and teamwork.
* Ability to communicate tactfully with department heads, managers, coworkers and vendors to resolve problems and negotiate resolutions

EDUCATION

* Completion of high school or basic education equivalency preferred
* Bilingual in Spanish/English a plus
* Medical or business office education or training desired

SPECIAL INSTRUCTIONS TO CANDIDATES

* EOE/AA M/F/D/V
New
5d ago

Registered Nurse Home Care On Call

Vitas Healthcare
Vienna, VA
Case Management and Supervision

* Follows VITAS policies and standards (See VITAS Standards Manual) and practices within the scope of the RN license
* Reports any request to practice outside of scope of license to the manager/supervisor
* Supervision of (VITAS employed and contracted) nursing tasks delegated to Hospice Aides, Licensed Practical/Vocational Nurses (and contracted Registered Nurses) and Volunteers per the plan of care
* Completes initial and ongoing comprehensive assessments including physical, psychosocial, spiritual, and bereavement
* Appropriately identifies/utilizes resources, referrals such as PT, OT, Home Health, Dietary, Pharmacy, Supplies, Home Medical Equipment, and other visits/consults
* Completes documentation at the time of the event and at the location of care unless otherwise directed
* Provides education to patients, families, caregivers and referral sources
* Participates in patient care meetings as assigned
* Participates in weekly team meetings
* Provides effective communication/shift reports through written, verbal, reporting and body language
* Participates in bereavement support
* Participates in the on-call rotation and/or provides shifts during non-business hours such as evenings, weekends and holidays based upon program-identified needs
* Provides visits/shifts in program coverage area
* Develops, coordinates, and follows the patient's individualized plan of care
* Appropriately delegates nursing tasks to Hospice Aides/Homemakers, Volunteers, and Licensed Practical/Vocational Nurses
* All factors pertinent to the patient's safety, including the competence of the Hospice Aide/Homemaker have been assessed
* Determination that this activity can be delegated safely to a Hospice Aide/Homemaker

* Connecticut -For activities other than those listed in section 1913D69(d)(3)of the Connecticut Department of Public Health delegated to a Hospice/Homemaker, the RN will document in the clinical record that:
* Provides nursing care including nursing tasks that may be delegated to other roles such as LPNs, HHAs and Volunteers
* Participates in and monitors patient and family care compliance activities
* Professionally manages/coordinates the hospice plan of care
* Provides and follows infection control practices
* Delivers care in accordance with the patient's plan of care
* Provides primary nursing care for inpatient and continuous care patients as assigned

Quality Improvement

* Participates in the Quality Assessment and Performance Improvement (QAPI) Program and related activities as assigned. This may include, but is not limited to
* participation in Performance Improvement Project(s) (PIP)
* Gathering clinical data which is used for quality measures

Professional Development

* Develops and achieves professional growth goals and objectives personally and per Team Manager reviews
* Responsible for attending orientation and regularly scheduled in-services/educational conferences as assigned
* Participates in orientation of Hospice Aides, Volunteers and other IDG members as assigned
* Participates in training activities internally within VITAS and externally as assigned

Customer Service

* Maintains focus on the patient and family experience of care
* Serves as a patient and family advocate
* Reports patient/family/customer complaints to Team Manager
* Participates in patient/family/customer conflict resolution as applicable.
* Represents the nursing profession, the VITAS site/location and VITAS overall in a positive manner

QUALIFICATIONS

* Currently licensed as a R.N. in the state where the VITAS program is located.
* A minimum of two years experience in hospice, home health, or community health experience in the last five years.

EDUCATION

* RN license

SPECIAL INSTRUCTIONS TO CANDIDATE

* EOE/AA M/F/D/V
New
7d ago

Team Manager Home Care

Vitas Healthcare
Fairfax, VA
The Team Manager is the leader of the Patient Care Team and that member of the team whose function is to: supervise, evaluate and coordinate the various component members of the interdisciplinary team; assure continuity of care from admission to discharge or transfer to bereavement; serve as patient advocate and coordinator for other social service and health care providers in the community who are involved in the care of the team's patients; assume responsibility for the maintenance of patient records from intake through discharge or transfer to bereavement.
Patient Care Services

* Directs all patient care services for the team, including volunteer and bereavement, and ensures that services are rendered as integrated components of the interdisciplinary plan of care.
* Reviews information on all pending patient admissions, all new admissions (assessments and history) and "alive" discharges to assure that eligibility and appropriateness criteria are met.
* Collaborates with both the team physician and the attending physician regarding palliative care measures for pain and symptom management.
* Assures complete and accurate data and documentation are available to make recertification decisions and further assures that those decisions are made on a timely basis.
* Reviews all imminent "alive" discharges to assure effective discharge planning.
* Monitors the type and level of team services provided (staffing, medications, HME, supplies, level of care changes to inpatient and continuous care, etc.) to assure that they are appropriate and responsive to patient/family needs and expectations.
* Manages the team schedule and assures coordination of services 24 hours a day, 7 days a week to all patients on the team.
* Facilitates team meeting, assuring interdisciplinary input into the update and revision of the plan of care in concert with the changing needs and expectations of the patient and family.
* Participates in on-call rotation.

Staff Supervision and Management

* Interviews, selects, trains, supervises, evaluates and dismisses team staff in conjunction with the Patient Care Administrator
* Assures staff competence and performance levels through making field visits, evaluating documentation and providing team based in services on Vitas values, hospice principles and practices and specific team growth needs.
* Acts as a resource and mentor for staff re clinical issues, documentation, inter- and intra- team problem solving and appropriate customer service behavior
* Oversees staff and volunteer schedules, scheduling and territory assignments to assure that workload is distributed equitably and that all staff are able to meet overall productivity expectations.
* Reviews and approves payroll, assuring that employees have documented accurate time, mileage and additional expenses.

Quality Improvement/Regulatory Compliance

* Monitors clinical records and all team activities to ensure that they are accurate, complete and meet required standards in accordance with VITAS policy and all regulatory bodies.
* Develops and implements performance improvement activities to respond to service issues and challenges and participates from time to time in program relating to quality and service improvement.
* Ensures that team completes proactive and other patient/family satisfaction surveys, and implements Quality Improvement measures and standards.
* Assists with surveys and requests from regulatory bodies and intermediaries as directed by local program.
* Performs substantive chart reviews to assure there is evidence that quality care is being delivered.
* Participates in the Outcomes Management and annual program review.
* Performs utilization review of continuous care and inpatient levels of care for all patients on team.

Customer Service/Sales/Marketing

* Assures that problems/grievances/service failures experienced by individual patients/families or physicians/MCOs are addressed with team members, vendors, other VITAS departments, and are resolved promptly and satisfactorily.
* Analyzes customer service issues on team to identify causes and works with individual team members as well as entire team to improve performance.
* Personally speaks with patients/families and their attending physicians when patient is considering revocation to seek satisfactory solutions to avoid unnecessary revocation.
* Regularly visits LTC and Contract Bed facilities to assure care plan integration, customer satisfaction and to discuss criteria for determining appropriateness.
* Participates in providing inservices to customers along with other team members, Patient Care Administrators and other program staff.
* Participates in professional, voluntary or community service organizations

Cost Containment

* Verifies/approves admitting IPOC diagnosis, treatments, staffing and supplies.
* Monitors utilization of resources by every patient to assure cost effective delivery of services.
* Controls and is accountable for productivity, labor and all related patient care costs with respect to budget.
* Approves all bills/invoices related to patient care services

Professional Development

* Attends inservices, educational seminars and workshops.
* Develops and achieves professional growth goals and objectives.
* Participates as a mentor of newly hired Team Managers.

QUALIFICATIONS

* Reliable transportation with appropriate license and insurance coverage for driver and passengers.
* Private telephone in home.
* Knowledge of the principles and practices of primary medical and nursing care, with at least a working knowledge of oncologic nursing and palliative care.
* Basic understanding of the interpersonal dynamics operative within the working relationships of an interdisciplinary health care team, and knowledge of the process of dying and bereavement.
* Working knowledge of VITAS information system (Vx) and the ability to utilize management reports.
* Two years successful supervisory experience or equivalent in a health care organization.

EDUCATION

* Bachelor's degree preferred.
* Current and valid R.N. License to practice in the state where the VITAS program is located.

SPECIAL INSTRUCTIONS TO CANDIDATE

* EOE/AA M/F/D/V
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