The Clinical Nurse Manager is responsible for the quality of clinical care administered by the nursing staff on a specific shift. By providing direction and oversight, the CNM is responsible for supervision of the staff and quality outcomes on the unit.
Responsible for management of clinical operations.Provide oversight for appropriate and compliant clinical episodic reimbursement.Participate in the recruitment, interviewing, selection, and orientation of team members.
In this position, you will review all Medicare and other episodic payers clinical records at the local level to assure appropriate documentation for reimbursement. This review includes verification of appropriate documentation, quality of care provided, visits utilization, appropriate contacts with physicians, adherence to the care plan, and evidence of communication between disciplines.
Assures appropriateness and cost effectiveness of treatment , and facilitates decision making in establishing an evaluation program, treatment plan, and a specific return to work/disability management plan with a specific date of return to work; serves as a liaison between employee/patient and compensation/disability management representatives.
In this role, you will provide oversight of communication between team members/attending physicians/caregivers to ensure the appropriateness of care and outcome planning and ensures compliance through review of documentation and care coordination activities.
In this role, the selected candidate will be accountable for outstanding customer service to all external and internal customers; develop and maintain effective relationships through effective and timely communication.