RN Team Manager- Hospice; RN

Overview

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The Team Manager is the leader of the Patient Care Team and is responsible for supervising, evaluating and coordinating the interdisciplinary team; assuring continuity of care from admission to discharge or transfer to bereavement; serving as patient advocate and coordinating with other social service and health care providers involved in the care of the team’s patients; and maintaining patient records from intake through discharge or transfer to bereavement.

• Direct all patient care services for the team, including volunteer and bereavement, and ensure that services are rendered as integrated components of the interdisciplinary plan of care.
• Review information on pending admissions, new admissions (assessments and history), and “alive” discharges to assure eligibility and appropriateness criteria are met.
• Collaborate with the team physician and the attending physician regarding palliative care measures for pain and symptom management.
• Ensure complete and accurate data and documentation are available to make recertification decisions and that those decisions are timely.
• Review imminent “alive” discharges to assure effective discharge planning.
• Monitor the type and level of team services provided (staffing, medications, HME, supplies, level of care changes) to ensure they are appropriate and responsive to patient/family needs and expectations.
• Manage the team schedule and coordinate services 24/7 for all patients on the team.
• Facilitate team meetings with interdisciplinary input into updates and revisions of the plan of care in line with changing patient and family needs.
• Participate in on-call rotation.

• Interview, select, train, supervise, evaluate and dismiss team staff in conjunction with the Patient Care Administrator.
• Ensure staff competence and performance through field visits, review of documentation and team-based in-services on VITAS values, hospice principles and practices and team growth needs.
• Act as a resource and mentor for staff on clinical issues, documentation, problem solving, and customer service behavior.
• Oversee staff and volunteer schedules and territory assignments to distribute workload equitably and meet productivity expectations.
• Review and approve payroll with accurate time, mileage and expenses.

• Monitor clinical records and team activities to ensure accuracy, completeness and compliance with VITAS policy and regulatory bodies.
• Develop and implement performance improvement activities in response to service issues and participate in quality and service improvement programs.
• Ensure completion of proactive patient/family satisfaction surveys and implement Quality Improvement measures.
• Assist with regulatory surveys and requests as directed by local program.
• Perform substantive chart reviews to ensure evidence of quality care and participate in outcomes management and annual program review.
• Perform utilization review of continuous care and inpatient levels of care for all patients on the team.

• Address problems, grievances, or service failures for patients, families or physicians/MCOs and resolve them promptly.
• Analyze customer service issues to identify causes and work with the team to improve performance.
• Speak with patients/families and attending physicians when patient revocation is considered to seek satisfactory solutions to avoid unnecessary revocation.
• Regularly visit LTC and Contract Bed facilities to ensure care plan integration and customer satisfaction, and discuss criteria for determining appropriateness.
• Provide in-services to customers with team members and program staff.
• Participate in professional, voluntary or community service organizations.

• Verify/approve admitting IPOC diagnoses, treatments, staffing and supplies.
• Monitor resource utilization for cost-effective service delivery.
• Control and be accountable for productivity, labor and all related patient care costs within the budget.
• Approve all bills/invoices related to patient care services.

• Attend…