RN Clinical Operations Specialist - Home Health

The Clinical Operations Specialist is responsible for the agreed-upon clinical activities that help facilitate and improve the day-to-day clinical operations within an office. The position will be multifunctional that focuses on overall clinical and operational coordination and creating efficiencies with standardization.

Essential Duties and Responsibilities:

• Participates in new hire clinical reviews
• Facilitates clinical orientation and competency evaluation for new hires
• Facilitates annual competency evaluation and clinical education on new initiatives
• Facilitates Novice Nurse Program, Skills Advancement Program, and clinical rotation of nursing students
• In consultation with office leadership (clinical and operations) monitors progress of plans of correction (CPOC, State survey and regulatory agency action plans). Also, identifies trends and areas for improvement and will work with office leadership to implement corrective actions
• Facilitates and monitors quality improvement activities (including documentation review) and action plans, including data integrity, progress to goals and development of new quality improvement activities
• In consultation with office leadership (clinical and operations) assist in compliance, legal and employee relations concerns, reports and issues
• In consultation with office leadership (clinical and operations) assist in grievance concerns, reports and issues
• In consultation with office leadership (clinical and operations) assist in incident report management , trending and analytics
• Initiates creative work flow process improvement
• Participates in office based meetings including staff meetings, quality meetings and red zones
• On a quarterly basis completes home visits, as applicable
• May participate in on-call
• May serve in the capacity of office administrator, appointed by and reporting to the Governing Body, and responsible for all day-to-day operations of the office. Those duties include ensuring that a clinical manager and operations manager is available during all operating hours; and ensuring that the office employs qualified personnel. In addition, if serving in the role of administrator, ensures that a qualified alternate administrator is selected and approved by the Governing Body to fulfill the role in the absence of the administrator
• Performs other duties as assigned

Minimum Requirements:

• Active Registered Nurse (RN) license required in states in which office and patients are located required
• Must meet all federal, state and local contract and program requirements in addition to internal certifications and training as required
• Must maintain annual clinical competency
• Preferred supervisory experience or experience leading a work-group or small group project preferred
• Excellent written and verbal communication skills preferred
• Demonstrated critical thinking skills preferred
• Experience in quality management preferred, including root cause analysis training and data analytics
• Knowledge of Microsoft Office and computer literacy is required
• Comfortable working independently and multitasking preferred
• Proficiency in the English language is required

Compliance & Ethics Expectations:

• Participates and successfully completes the company’s compliance program requirements and adheres to the Code of Conduct, Company policies, and applicable federal and state requirements
• Sets an example for other employees regarding how the Company’s Code of Conduct and Compliance Program is applied and observed every day when dealing with customers, business operations, or other team members
• Reports potential violations of company policy, Code of Conduct, and/or applicable laws and regulations to the company hotline, through the chain of command, to the Compliance and Ethics Department, or through other channels made available by the company for reporting potential violations
• Promotes an environment in which other employees are encouraged to report potential violations
• As appropriate, provides input and suggestions regarding areas in which policies, procedures, workflows, and/or controls can be improved to enhance compliance