Paychex

Clinical Manager

Paychex • $80K — $95K *
Lexington, MA 02421In-Person
Healthcare
Less than 5 years of experience
Today
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Job Overview by Ladders

Qualifications

  • BSN - RN required
  • Experience in Home Health essential
  • Leadership skills for supervising clinical staff
  • Knowledge of OASIS assessment requirements
  • Strong documentation and compliance background
  • Ability to manage interdisciplinary care teams
  • Experience with quality improvement initiatives

Responsibilities

  • Supervise clinical staff, including RNs, LPNs, PT/PTAs, OT/COTAs
  • Monitor patient care and ensure home-health eligibility
  • Manage and update Plans of Care in compliance with regulations
  • Review OASIS assessments for accuracy and quality
  • Conduct interdisciplinary case conferences for high-risk patients
  • Oversee scheduling, staff productivity, and caseload management
  • Ensure compliance with CMS and Massachusetts health regulations
  • Review clinical documentation for completeness and accuracy
  • Track and analyze hospitalization rates and implement interventions
  • Participate in quality improvement projects and monitor outcomes
  • Educate staff on clinical practices and regulatory changes
  • Maintain survey readiness and manage audits effectively
  • Facilitate communication across various stakeholders

Benefits

  • Opportunity for professional development and training
  • Engagement in quality improvement initiatives
  • Collaborative environment with interdisciplinary teams
  • Focus on patient-centered care
  • Supportive leadership and community impact
Full Job Description
A Clinical Manager in a VNA (Visiting Nurse Association/Home Health Agency) is responsible for overseeing the clinical staff, patient care, documentation, compliance, and day-to-day clinical operations of the agency or a clinical team.

Responsibilities include:
  • Clinical supervision: Supervise RNs, LPNs, PT/PTAs, OT/COTAs, SLPs, MSWs, and HHAs/CNAs as applicable. Provide coaching, answer clinical questions, address performance concerns, and ensure staff follow agency policies.
  • Patient oversight: Review new admissions/SOCs, ensure patients meet home-health eligibility requirements, monitor changes in condition, hospitalizations, falls, wounds, medication issues, and other high-risk situations.
  • Plan of Care management: Ensure the POC is complete, individualized, updated, physician/provider orders are obtained, frequencies are appropriate, and recertifications/discharges are completed timely.
  • OASIS/QA: Review OASIS assessments for accuracy and consistency with the clinical record, monitor documentation quality, correct discrepancies, and educate clinicians on OASIS requirements.
  • Case conferences: Conduct or participate in interdisciplinary case conferences, review difficult/high-risk patients, coordinate disciplines, and ensure goals and discharge planning are being addressed.
  • Scheduling and productivity: Monitor caseloads, missed visits, declined visits, open visits, staff productivity, weekend/holiday coverage, and make sure ordered frequencies are met.
  • Compliance: Monitor CMS Conditions of Participation, Massachusetts requirements, infection control, emergency preparedness, patient rights, incident reporting, aide supervision, competencies, and personnel compliance.
  • Clinical documentation: Review visit notes, orders, medication profiles, care plans, wound documentation, hospitalization documentation, discharge summaries, and other clinical records for completeness and timeliness.
  • Hospitalization reduction: Track ER visits and rehospitalizations, identify patients at high risk for hospitalization, perform follow-up/root-cause reviews, and implement interventions.
  • Quality improvement: Participate in QAPI/PIPs, track quality measures and HHCAHPS results, identify trends, develop corrective action plans, and monitor whether improvements are sustained.
  • Staff education: Provide education on OASIS, documentation, wound care, medication reconciliation, infection prevention, fall prevention, hospitalization prevention, and regulatory changes.
  • Survey readiness: Maintain charts and clinical processes in a survey-ready state, conduct mock audits, respond to deficiencies, and help develop and monitor Plans of Correction.
  • Communication: Coordinate with physicians/providers, hospitals, referral sources, patients/families, field clinicians, intake, scheduling, QA, billing, and agency leadership.

Qualifications:
  • BSN - RN
  • Experience in Home Health

About Paychex

Paychex, Inc. is a leading provider of integrated human capital management solutions for payroll, benefits, human resources, and insurance services. By combining its innovative software-as-a-service technology and mobility platform with dedicated, personal service, Paychex empowers small- and medium-sized business owners to focus on the growth and management of their business. Paychex is headquartered in Rochester, New York and has more than 100 locations across the United States and Europe.
Learn more about Paychex
Size
15,000 employees
Market Cap
$40.1 billion
Industry
Business Services
Net Income
$1 billion
Founded
1971
5 Year Trend
+7.9%
Revenue
$3.9 billion
NASDAQ
PAYX
* Ladders Estimates

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