Policy Manual sample

MDT Home Health Care Agency, Inc. JOB DESCRIPTION Supervisor: CLINICAL QUALITY IMPROVEMENT General Statement of Responsibilities: Assures the development, implementation, and evaluation of agency programs and methods for the improvement of quality and service productivity. Acts in supervisory/consultative capacity for (all) clinical service programs as delegated by and in the absence of the Clinical Manager/Director of Nursing. Lines of authority and reporting responsibilities: Report to the Director of Nursing, Clinical Manager, Administrator. Distinguishing Features: Under the general supervision of the Clinical Manager/Director of Nursing, and with consistent focus on Agency’s standards pertaining to organizational compliance and improvement, the Clinical Supervisor has the responsibility for the overall day-to-day oversight of clinical services to assure the delivery of safe, effective, efficient, reimbursed, coordinated, and comprehensive care in homes and/or other community facilities. - Is knowledgeable of Medicare/Medicaid Conditions of Participation; - Is knowledgeable of the CMS OASIS scoring guidelines, and; - Maintains knowledge / current information with CMS regulations and accrediting bodies in regards to clinical operating standards for home health care. Potential exists for exposure to blood-borne disease. Key Position Activities · With 100% customer focus, serves as a resource for clinical and support staff · Oversight quality of documentation and adherence to OASIS timelines · Oversight utilization of services—establishing type, frequency and duration Typical Position Activities: 1. Collaborating with the Clinical Manager and Director of Nursing, assists in planning, implementing, coordinating and evaluating the clinical services and QAPI program; 2. Is responsible for timely (within 48-72 hours from SOC) review (“QAPI”) 485/ Plan of Care Certifications, Certification OASIS and initial progress note to determine consistency with supporting medical documentation, the referral document, and the Admission Case Conference. Collaborates with admitting clinician to discuss findings and make recommendations, as appropriate. 3. In collaboration with the Clinical Manager/Director of Nursing, ensures compliance with professional standards and regulation; 4. Assists in general orientation and ongoing education of new staff/contractors to their activities and responsibilities, to include in-home orientation and supervisory visits for purposes of demonstrating and evaluating the delivery of patient care; 5. Ensures that referred cases are visited within 48 hours from referral, unless otherwise physician authorized; Home Health Agency Job Descriptions I-61