Clinical Supervisor
COMMUNITY HEALTH AND COUNSELING SERVICES
DEPARTMENT: Health Services DATE: 5/04
POSITION TITLE: Clinical Supervisor, Area Office
DEPARTMENT DIRECTOR: Helen Burlock
GENERAL DESCRIPTION:
(includes position purpose and objectives)
Provides clinical coordination of Home Health and Hospice Services as delegated by the Area Manager.
SUPERVISION RECEIVED:
Area Manager
SUPERVISION EXERCISED:
Nursing staff
Home Health Aide staff
Therapy staff (PT, PT Asst., OT, SLP)
Social Work staff
HM staff (in some offices)
COLLABORATES WITH:
Asst. Director of Health Services
Members of Hospice Interdisciplinary Team
Contracted Facilities and Companies as necessary to deliver hospice services
Coordinator of Nursing Consultation
Clinical Nursing Consultant
Psychiatric Nursing Consultant
Staff Development Coordinator
Staff Development Specialist
Social Work Coordinator
Therapy Services Coordinator
Other Clinical Supervisors
Intake Department
Area Office Scheduler
Area Office Secretaries
Data Entry Operator
Telehealth Nurse
PERFORMANCE EXPECTATIONS:
(included essential job functions)
Related to Home Health and Hospice Programs Operations
1. May accept requests for services and reviews the service need with the scheduling person.
2. Oversees scheduling and/or participates in scheduling to ensure delivery of high quality services in the most efficient, effective and economical manner.
3. Serves as a resource to staff regarding the utilization of community resources as they relate to the planning of home health or hospice client care. Assists with coordination of these resources/models. Resolves or approaches identified issues/problems using critical thinking behaviors or effective problem solving/decision making.
4. Assesses and evaluates potential client/families for appropriateness, or hospice or home health services, and/or telehealth services.
5. Conducts initial informative visit with client/family to explain Medicare Hospice Benefit, or delegates the responsibility to appropriate staff.
6. Acts as core member of Hospice IDT. Confers with another member of IDT before providing hospice services. Provides clinical update to IDT when primary nurse is unable to attend.
7. Plans, coordinates, and facilitates Home Health and Hospice interdisciplinary meetings on regularly scheduled basis. Authorizes in conjunction with Area Manager and IDT members, services and supplies in the delivery of hospice and home health care.
8. Assists in evaluation of home health and hospice services presently being provided in the service area and makes staffing recommendations to the Area Manager.
9. Conducts a review of clinical record documentation at or above minimum standards to assess and ensure case management and documentation competency according to Agency and regulatory requirements.
10. Participates in audits and audit reports as requested by the Area Manager.
11. Assesses and evaluates service delivery and staff needs in the area and makes recommendations to the Area Manager re: staffing needs, opportunities for improvement and trends in direct service staff requirements.
12. As delegated by and in consultation with the Area Manager, interviews, administers competency evaluations, and selects candidates for direct service positions.
13. Reviews and signs weekly time reports.
14. Approves and coordinates vacation time requests.
15. Monitors staff compliance with the record-keeping system and is responsible for 60-day continuous review.
16. Coordinates discharge planning with local health care facilities and pre-discharge hospital visits when needed. Coordinates hospice inpatient services for clients on the Medicare Hospice Benefit.
17. Coordinates and supervises IV and other high tech referrals.
18. Coordinates direct service staff caseloads to facilitate quality, efficient service delivery to client population.
19. Assists the Area Manager in monitoring services delivery statistics in both the home health and hospice programs, as appropriate.
20. Coordinates and conducts utilization review/team conference meetings when appropriate.
21. Provides direct service according to program need and availability of time.
22. Attends selected supervisory meetings.
23. Helps to ensure delivery of high quality home health and hospice services in the most efficient, effective, and economical manner.
24. Facilitates an interdisciplinary approach to client care in the Home Health Program.
25. Assures that Agency, Home Health and Hospice policies and procedures are followed.
26. Collaborates with telemedicine nurse to support and ensure quality telehealth services to eligible area clients.
27. Understands telehealth program objectives, client inclusion/exclusion criteria.
28. Promotes telehealth to internal staff, physicians, and communities.
Related to Staff
1. Supervises the Area Office orientation of new staff utilizing the Nursing Competency CheckList and the HHA Skills CheckList as appropriate.
2. Provides regularly scheduled supervision of direct service staff members to assist and guide them in the development of client care plans and the performance of their duties.
3. Regularly reviews all care plans and makes recommendations, as appropriate, to the primary discipline.
4. Educates and instructs in preventative, rehabilitative or palliative measures appropriate for the client’s care and safety.
5. Assists direct service staff in evaluating care of clients and families.
6. Collaborates with the Area Manager and the Intake Department in referral coordination and case assignment to direct service staff, and coordinates interdisciplinary case conferences.
7. As delegated by the Area Manager, and with input from the Clinical Coordinators, completes probationary and annual performance evaluations and staff development plans for direct service staff, and identifies areas in need of growth.
8. Conducts regularly scheduled home visits to supervise direct service staff performance at or above minimum standards, and to assess 100% of key clinical competency areas annually, including compliance with Agency policies.
9. Is responsible for coordinating distribution of bag supplies as well as personal protective equipment to all direct service staff (including homemakers in some offices).
10. Facilitates communication between staff and administration; monitors outcome of communication; and effects conflict resolution, group facilitation, and team building.
11. Seeks and stimulates others to seek new knowledge for the benefit of clients, families, team members, and own professional growth by making continuing education/staff development needs of staff and self known to the Area Manager, and by coordinating CPR classes, updates, and the development of the office educational resource center.
12. Provides leadership and promotes a positive Agency image to staff.
13. Directs direct service staff toward appropriate use of community and Agency resources.
Related to Program Management
1. Assumes administrative responsibility for Health Services Area Office in the absence of the Area Manager.
2. Participates in the development and revision of department clinical and administrative policies and procedures as relates to professional and paraprofessional staff.
3. Make recommendations on budgetary matters related to staff and program needs to Area Manager.
4. Assists in planning for professional students coming to the Agency.
5. Demonstrates working knowledge of the requirements of the regulatory and accrediting organizations.
6. Assists in IOP activities for the Area Office, Department, and/or Agency.
Related to Community Relations
1. Represents the Department and Agency at community meetings as delegated by the Area Manager.
2. Assists with community public relations and publications.
QUALIFICATIONS:
(includes essential knowledge, skills, abilities)
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.
1. RN licensed to practice in the State of Maine, BSN preferred.
2. Demonstrated excellence in clinical practice.
3. At least five years of recent clinical experience in nursing, one year of which must have been with a licensed home health agency, and demonstrated leadership qualities.
4. Home Health supervisory experience preferred.
5. Successful passage of CHCS physical examination.
6. A current State of Maine drivers license and a reliable means of transportation with a minimum of $100,000/$300,000 auto liability insurance.
ESSENTIAL KNOWLEDGE, ABILITIES AND SKILLS:
1. Uphold the confidentiality of both clients and employees at all times.
2. Work flexibly and independently in an unstructured setting with non-traditional supervisory support.
3. Demonstrate comprehensive knowledge and clinical competence in the practice of community health nursing as documented on skills inventory list.
4. Demonstrate knowledge and skills in supervision, consultation, coordination and decision making.
5. Exercise leadership.
6. Recognize the needs and concerns of others and to maintain constructive working relationships.
7. Grow professionally and maintain and update clinical skills.
8. Exercise independent judgment.
9. Accept and utilize administrative direction and consultation.
10. Demonstrate a positive attitude towards the Agency.
11. Communicate effectively and courteously with clients, staff and the general public, both orally and in writing.
12. Documents outcomes of visits and meetings in a timely manner.
13. Complete paperwork on time.
14. Meet deadlines, including those, which may be difficult to meet.
15. Understand and appreciate the dynamics of working with the elderly, chronically ill, and terminally ill and their families.
16. React calmly and effectively in stressful, hostile, or emergency situations with tact and diplomacy.
17. Drive in varying weather conditions and on rural roads safely.
18. Work over 40 hours per week, and/or evenings, and/or weekends, and/or an unpredictable schedule.
19. Demonstrate a mature attitude with sound judgment, exhibit a cooperative attitude, be conscientious, reliable and even-tempered, and get along with others.
20. Demonstrate CPR skills according to American Heart Association or Red Cross guidelines.
PHYSICAL DEMANDS:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job.
PHYSICAL REQUIREMENTS - (BASED ON AN AVERAGE DAY)
NEVER OCCASIONALLY FREQUENTLY CONTINUOUSLY
1 - 3 HRS 3 - 5 HRS 5 -8 HRS
- Must be able to reach above shoulder level.
- Must be able to occasionally bend & stoop.
- Must be able to occasionally carry 15 pounds 15 feet.
- Must be able to occasionally climb up 3 consecutive flights of stairs.
- Must be able to frequently drive with occasional trips of up to 1 hour in duration.
- Must be able to occasionally lift 50 pounds, from a height of 14" to a height of 30".
- Must be able to occasionally pull 40 pounds.
- Must be able to occasionally push 40 pounds.
- Must be able to occasionally walk over uneven or slippery terrain.
- Must be able to apply 40 pounds of repetitive squeezing force.
- Must have either corrected or uncorrected binocular vision of at least 20/40.
- Must have a hearing threshold of less than or equal to 35 dBa at 2000 Hz in both ears.
- Must be able to drive an average of 200 miles or more per month up to 2 hours at a time.
- Must be able to coordinate the eyes, hands and feet with each other in response to visual stimuli (e.g., drivers).
- Must be able to work in environmental conditions which may include environmental pollutants (e.g., pet dandruff, second hand smoke, etc.); toxic or caustic chemicals; biological waste; outdoor weather conditions.
JOB PERFORMANCE EVALUATION:
Employee must satisfactorily complete a 6-month probationary period. At that time, the employee may be granted regular status or may be continued on a probationary basis for an additional 6 months. Subsequent job performance evaluations will occur on an annual basis.
Revised by: Nursing Coordinator /Date: 5/04
Approved by: Professional Advisory Committee / Date: 5/04F:\wpdata\job-desc\current\CLSUP04
5/04