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Regional Director of Clinical Operations

Company: Professional Case Management
Location: Santa Fe
Posted on: May 17, 2019

Job Description:

The Regional Director of Clinical Operations (RD) manages, supervises, coordinates, evaluates, and develops client care teams to ensure quality care delivery and appropriate case management within the Company's scope of services and policies; state, federal, and local laws; and Nurse Practice Act. The Regional Director of Clinical Operations shall be available at all times during operating hours and participate in all activities relevant to the professional clinical services furnished, including the development of qualifications and the assignment of personnel. The RD may be required to travel to assigned outlying regions and client sites.


  • Manage and direct a team of Nurse Case Managers ensuring safe, effective, and appropriate home care services
  • Oversee the management and fiscal affairs for the assigned region
  • Coordinate and ensure performance improvement activities for assigned regions and is a member of the performance improvement committee
  • Recommend region-specific performance improvement activities indicated from a review of occurrences and other performance indicators
  • Report complaints and grievances, occurrences, and infections per Company policy
  • Review Company policies and procedures and recommend changes or revisions as needed and disseminate policy changes to assigned personnel
  • Receive client referrals, determine services required and Agency's ability to meet those requirements
  • Meet with case managers/clinical personnel on a regular basis to provide guidance, information related to specific issues, and education
  • Collaborate with the administration to establish departmental priorities and budgetary needs. Keep any local contracts current.
  • Ensure 24-hour coverage by registered nurses and evaluates the quality of on-call services
  • Develop working relationships with other health care professionals in the community in order to identify resources available and to ensure access to client information
  • Coordinate provision of continuing education programs
  • Stay current on available community resources, health care costs, and industry trends through self-education and access to outside educational opportunities
  • Ensure accuracy, completeness, and timeliness of agency and clinical documentation in accordance with policies and procedures, regulatory requirements, and industry standards
  • Monitor clinical records of open and closed cases regularly, and participates in quarterly clinical record review
  • Assist with marketing, public relations, and discharge planning by participating in departmental meetings
  • Provide on-site supervision per policy and as needed to determine staff competency and to respond to educational and developmental needs
  • Collaborate with human resources/staffing to ensure proper staffing of qualified, competent personnel
  • Demonstrate knowledge of infection prevention and control practices by complying with policies and regulatory requirements
  • Assess the safety of the environment and take the initiative to help prevent accidents and promote safety and a safe environment


    • Graduate of a state-approved school of professional nursing
    • Current unblemished and unrestricted license as a Registered Nurse in the state(s) of practice
    • BSN or MSN preferred
    • Minimum of five (5) years nursing experience including home care or closely related service
    • Minimum of three (3) years of management experience preferred
    • One to two (1-2) years case management experience preferred
    • Complies with accepted professional standards and practice
    • Excellent communication (verbal and written), interpersonal and leadership skills, and strong business acumen.
    • Demonstrates organizational, facilitative and assertiveness skills, flexibility and the ability to work effectively in teams.
    • Strong analytical skills and the ability to summarize and present data and statistics.
    • Knowledge of home care federal and state regulations
    • Knowledge of reimbursement sources and documentation requirements within home health care
    • Must be a licensed driver with automobile insured in accordance with Company and state requirements
    • Current CPR certification
    • Ability to travel

Keywords: Professional Case Management, Santa Fe , Regional Director of Clinical Operations, Executive , Santa Fe, New Mexico

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