Clinical Oversight Manager

Mountain Empire Older Citizens, Inc.; Big Stone Gap (VA); Vor Ort; USD 85.000 - 105.000; Vollzeit

Zusammenfassung

Mountain Empire Older Citizens, Inc. seeks a Nursing Clinical Oversight Manager to provide clinical oversight, serve as the liaison between medical providers and nursing staff, and own regulatory monitoring for a geriatric population.

The role includes overseeing nursing audits, participating in the IDT, supervising Coordinators, and ensuring care plans align with regulatory timeframes within a PACE program.

Qualifikationen

• RN license to practice in Virginia.
• Geriatric patient experience preferred.
• Ability to manage staff in stressful situations.
• Immunizations up to date; criminal history and drug screen at hire.

Aufgaben

• Maintains a caseload of about half of enrolled participants.
• Performs nursing assessments as required by regulation and participant condition.
• Participates in the Interdisciplinary Team (IDT) meetings.
• Completes post-discharge nursing follow-up and medication reconciliation.
• Coordinates admissions, transfers, and discharges with facilities.
• Documents changes, risks, and barriers; escalates urgent matters.
• Educates participants and caregivers on conditions and care plans.
• Ensures compliance with assessments, care planning, and follow-up.

Kenntnisse

Oral and written communication

Interpersonal skills

Computer skills

Organizational skills

Problem solving

Record keeping

Ausbildung

Virginia RN license

Tools

Electronic Health Records

Jobbeschreibung

Job Description

Job Description

JOB SUMMARY:

Provides clinical oversight and serves as the principal liaison between medical providers and nursing staff. Owns clinical regulatory monitoring, high-risk tracking, clinical audit follow-through, and provider-to-nursing workflow reliability. Also functions as the RN for IDT for an assigned caseload shared with the Nursing Participant Care Coordinator.

Job Responsibilities

• Maintains an assigned caseload of approximately one-half of enrolled participants, adjusted as needed for acuity, enrollment, and coverage.
• Conducts and documents initial, periodic, semiannual and change of status nursing assessments of participants required by regulation, policy, or participant condition.
• Actively participates in the IDT; presents condition, risks, needs, preferences, and priorities; and develops, updates, and evaluates the nursing plan of care.
• Complete participant-specific surveillance, including at least monthly assessment and documentation for active wounds and more often when clinically indicated.
• Performs or coordinates timely post-hospital and post-nursing facility discharge nursing follow-up, including assessment, medication reconciliation, discharge-instruction review, and communication with providers and the IDT.
• Coordinates hospital, nursing-facility, and assisted living admissions, transfers, and discharges; obtains records, maintains facility contact, monitors status, supports discharge planning, and updates the IDT.
• Documents and communicates material changes, risks, refusals, and barriers; escalates urgent matters and verifies follow-through.
• Educates participants and caregivers about conditions, medications, treatments, warning signs, and the nursing plan of care.
• Partners with the Clinical Nursing Manager to align daily execution with acuity, provider priorities, plans of care, and regulatory timeframes.
• Reviews patterns in acute visits, falls, wounds, infections, facility utilization, delayed follow-up, and high-risk events and brings actionable concerns to providers, the IDT, and leadership.
• Facilitates complex case review when clinical needs, services, documentation, or accountability are unclear or stalled.
• Maintains or oversees tracking for wounds, infections, immunizations, falls, hospitalizations, facility stays, homebound and facility visits, transitions, and other required monitoring.
• Monitors compliance with assessment, care-planning, reassessment, service delivery, documentation, transition, and follow-up requirements; reports noncompliance and verifies correction.
• Conducts risk-based clinical audits, validates corrections, analyzes trends, and participates in root cause analyses and corrective action plans with Quality and Compliance.
• Organizes and reports clinical performance and compliance data to clinical leadership and committees as assigned.
• Reviews clinical policies, workflows, forms, and tools for regulatory alignment; supports surveys, audits, record requests, investigations, and plans of correction.
• Provides functional guidance on compliance and coordination without replacing the Clinical Nursing Manager’s personnel supervision or daily operational authority.
• Provides nursing services within RN scope, accepted standards, organizational policy, and the participant’s plan of care.
• Identifies urgent or emergency conditions, initiates appropriate interventions, and promptly escalates to a provider or emergency services.
• Protects participant rights, dignity, confidentiality, choice, and safety and provides person-centered care.
• Completes accurate, timely documentation in the electronic health record and required tracking systems.
• Participates in the 24-hour care delivery system and may provide clinic, field, weekend, holiday, or after-hours coverage when assigned.
• Participates in quality improvement, emergency preparedness, staff education, committees, and other activities as assigned.
• May take call after-hours or on weekends when other nursing staff are not available.
• Participates in the Quality Improvement program.
• Serves on the Quality Committee and appropriate subcommittees.
• Serves on the Compliance Committee and the PACE Administrative Team.
• Perform other appropriate duties as directed by PACE Director.

Essential Functions

• Oral and written communication skills
• Interpersonal skills
• Computer skills
• Organizational skills
• Problem solving skills
• Record keeping and reporting skills

SUPERVISORY RESPONSIBILITIES:

The Clinical Oversight Manager is the direct supervisor of the Clinical Care Coordinator, Clinical Services Clerk and Clinical Administrative Support Specialist who work in the medical clinic.

Qualifications

Graduate of an accredited school of nursing with a Virginia license to practice as a registered nurse.

One or more years experience with a geriatric population.

Ability to manage people in stressful, difficult and unusual situations.

Medically cleared for communicable diseases with up-to-date immunizations before participant contact.

Criminal history records check at hire.

Drug screen at hire.

WORK SCHEDULE:

Full-time, 8:30 a.m. to 4:30 p.m., Monday - Friday. Occasional after-hours call, as needed/directed.