The Clinical Resource Nurse is responsible for the coordination of a clinical client population and is is a support position responsible for supporting clinical services, overseeing the determination of client eligibility for services and has a service philosophy that accepts as a goal that while home care is preferred to inpatient care, family care is the preferred care unless clinically inappropriate. The Clinical Resource Nurse must be willing to work with referral sources to transition clients to the lowest level of appropriate care. The Clinical Resource Nurse will have the responsibility of handling client, family and provider grievances, managing them into the organizational oversight process, and serving as liaison to referral sources as well as coordinate clinical goals for business units with the goals of the organization.
ESSENTIAL HSC MISSION AND VALUES:
HSC Health Care System provides and coordinates innovative, high quality, community-based care for individuals with complex needs and their families. HSC empowers all we serve to improve the quality of their lives.
HSC supports individuals and families to maximize their potential. The following beliefs drive our work. HSC believes that:
- A culturally diverse community is a strength.
- Inclusiveness for individuals, families, and staff promotes positive outcomes.
- Everyone should be treated with compassion and empathy.
- Our skillful, dedicated, and resourceful staff is key to our success.
- We must continually adapt to the changing needs of our community.
- Increased independence is an important goal for individuals and their families.
Essential job duties:
1. Working with care managers, clients, and caregivers and referring providers all of whom may define this differently.
2. Proper chart documentation and referring physician, management of client family relationships, and recruitment of staff are required duties.
3. Enforce procedures, policies, practices and standards of HSC Home Care and HSC Health & Residential Services.
4. Promote and maintain quality client care by working on education and training pathways for current staff.
5. Assist with the determination of client eligibility for services and support clinical and quality management with nursing operations.
6. Must be willing to work with Clinical Leadership/Payers to transition clients to lowest level to lowest level of appropriate care. This means working with care manages, clients, caregivers and referring providers all of whom may define this differently.
7. Assist in developing care plans in collaboration with the physicians.
8. Conduct visit verifications, client comprehensive chart reviews, development and review of client plan of care.
9. Support clinical team with client, family relationship for the organization.
10. Manages handles client, family provider complaints and reports them to the organization oversight process.
11. Acts as a liaison to Clinical Department, Hospital and payers
12. Coordinates goals of business unit with the goals of the organization.
13. Demonstrated ability to develop and deliver educational programs and materials for staff/clients and families based on education theories, principles and best practices.
14. Demonstrated ability to teach, demonstrate, coach and facilitate (one on one and in groups).
15. Demonstrated ability to work independently and in collaboration with others.
16. Knowledge of relevant clinical practice standards/guidelines and care pathways.
17. Demonstrated ability to lead change and support staff through transition.
18. Demonstrated ability to effectively lead a project or initiative.
19. Demonstrated skill in the application of techniques appropriate to the assessment and treatment of designated patient/client population utilizing best available evidence informed practice.
20. Demonstrated ability to promote a supportive, creative learning environment and engage in continuous quality improvement.
21. Knowledge of basic research, e.g. research ethics, research question, hypothesis and qualitative and quantitative data analyses methods.
22. Effectively participates in Quality/Performance Improvement programs in collaboration with Clinical Leadership. Plans and implements in-service and training programs in collaboration with Clinical and Quality Leadership.
23. Promotes home health referrals in the healthcare community.
24. Conducts in-home visits to provide oversight to Clinical Nurse Supervisor and Field clinicians.
25. Evaluates referral client’s appropriateness for homecare as a part of the admissions committee.
26. Ensures completeness of comprehensive assessment upon admission, re-certification, post-hospitalization etc. for all assigned clients.
27. Ensures current physician orders, plan of care/care plan is in place for all active clients.
28. Promotes employee engagement and retention.
29. Partners with COO and Clinical Leadership to lead cohesive teams toward common goals.
30. Conducts regular meetings with staff. Ensures that staff expectations are consistent with the goals of the company and the system. Builds relationships with staff and works towards creating a service culture.
31. Maintains current knowledge in present area of responsibility (i.e. attends ongoing educational programs).
32. Maintains skills, licensure, regulatory requirements, and credentials needed to perform assigned duties.
33. Always attends mandatory in services and meetings or arrange with the appropriate supervisor for satisfactory compliance.
34. Home visits as needed to provide supervision and evaluation of staff and/or patient care during times of excessive volume.
35. Perform other duties as required.
The Clinical Resource Nurse must be a registered nurse with a BSN or master’s preferred, at least two (2) years’ experience in pediatrics with 2-3 years’ experience in Home Health care and five (5) years supervisory experience. Experience with client education is necessary. Familiarity with Medicaid regulations and computer literacy. Must be familiar with the Maryland COMAR regulations for Residential Service Agencies. Familiar with ICD10 codes, CPT codes and HCPCS codes.
Must be certified/licensed as a Registered Nurse in the State of Maryland and District of Columbia. Current CPR Certification.
BSN required; Masters preferred.
The incumbent will be responsible for the general direction of all clinical services staff.