Clinical Oversight Manager

MOUNTAIN EMPIRE OLDER CITIZENS INC; Big Stone Gap (VA); On-site; USD 77,000 - 84,000; Full time

Job summary

Mountain Empire Older Citizens Inc. is seeking a Clinical Oversight Manager to oversee clinical care, regulatory monitoring, and nursing workflows for an assigned caseload in a busy geriatric program.

The RN will collaborate with the IDT and nursing staff to ensure high-quality care and compliance with standards. The role requires Virginia RN licensure, geriatric experience, and strong leadership capabilities.

Qualifications

• Oral and written communication with participants, families, and providers.
• Strong interpersonal skills for collaboration within the IDT.
• Excellent organizational abilities to manage multiple participants and tasks.
• Accurate record keeping and timely reporting in the health record.

Responsibilities

• Maintains an assigned caseload of approximately half of enrolled participants.
• Performs nursing assessments and documents changes per regulations and policy.
• Participates in the IDT, updates nursing plans of care, and communicates priorities.

Skills

Oral & written communication

Interpersonal skills

Organizational skills

Record keeping

Education

RN license required

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Clinical Oversight Manager

Full Time Management Big Stone Gap, VA, US

18 days ago Requisition ID: 1196

Salary Range: $76,500.00 To $84,150.00 Annually

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
• Organizational 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.