Home Health Clinical Team Lead​/Patient Care Manager

Job Title:

Home Health Clinical Team Lead / Patient Care Manager

Job Location:

Knoxville, TNO

ffice:
University of Tennessee Home Health Job Status:
Full - Time POSITION SUMMARY: The Clinical Team Lead / Patient Care Manager (RN) is responsible for the overall coordination, supervision, and management of clinical services to ensure the delivery of high-quality home health care. This role provides leadership and support to an interdisciplinary team, oversees patient care coordination, ensures regulatory compliance, manages clinical operations, and promotes positive patient outcomes through effective care planning, communication, and quality improvement initiatives.

This position serves as a key clinical resource for field staff, physicians, patients, and caregivers while supporting agency goals and performance standards.

ESSENTIAL RESPONSIBILITIES AND DUTIES INCLUDE BUT ARE NOT LIMITED TO THE FOLLOWING:

Clinical Leadership & Patient Care Management Oversees the coordination and delivery of patient care services to ensure quality, continuity, and compliance with physician orders and regulatory requirements.

Receives referrals, reviews patient information, determines agency appropriateness, and assigns clinicians and therapists to ensure timely admissions and evaluations.

Develops, implements, and oversees individualized plans of care in collaboration with patients, families, caregivers, physicians, and the interdisciplinary team.

Ensures patient needs are continually assessed and care is individualized, clinically appropriate, and consistent with payer and eligibility requirements.

Reviews patient diagnoses, medications, assessments, plans of care, and clinical progress to ensure quality outcomes and appropriate interventions.

Provides guidance to clinicians regarding best practices, patient management, disease processes, and plan of care development.

Provides direct patient care as needed and within scope of practice.

Staff Supervision & Development Supervises and supports clinical staff, ensuring adherence to agency policies, clinical standards, and regulatory requirements.

Serves as a clinical resource and mentor to field clinicians, providing ongoing coaching, support, and problem resolution.

Assists with recruitment, interviewing, onboarding, orientation, and retention of clinical staff.

Participates in staff development, in-service education, and competency activities.

Ensures adequate clinical support and leadership coverage during all operating hours.

Care Coordination & Communication Coordinates care among physicians, clinicians, therapists, durable medical equipment providers, community resources, patients, and family members.

Manages physician communications, verbal orders, care updates, and treatment modifications

Ensures appropriate follow-up regarding laboratory results, diagnostic testing, significant patient changes, and physician notifications.

Facilitates, leads, and documents interdisciplinary case conferences and care coordination meetings.

Assists clinicians with patient transfers, discharges, and transitions of care.

Maintains effective communication with team members regarding admissions, clinical concerns, and patient care needs.

Quality Assurance & Regulatory Compliance Performs ongoing chart audits, clinical record reviews, and documentation monitoring to ensure compliance with agency, state, federal, and payer requirements.

Monitors clinician documentation for timeliness, accuracy, and completeness and provides corrective guidance when necessary.

Participates in Quality Assurance and Performance Improvement (QAPI) activities and agency quality initiatives.

Assists with risk management reporting, infection tracking, incidents, and occurrence reporting in compliance with agency policies.

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