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Home Health Manager (#1110)

Salary Range:$35.14 to $50.10
Employment Type:Full Time
Department:Home Health/Hospice
Available To:Public
Description:Klickitat Valley Health is currently seeking a Home Health Manager.

This full-time position offers 40 hours and is eligible for the Full-time Benefits package which includes Medical, Dental, Vision and Rx coverage; Retirement Contribution; Paid Time Off; Life Insurance; Long and Short Term Disability; and a KVH medical services credit.

The Home Health Manager is a Registered Nurse, manages all of the Home Health services delivered by KVH, consistent with achieving optimal alignment with the vision, mission, and values of the hospital district. The Manager oversees the day to day delivery of safe, quality care through coordination of interdepartmental services, clinical staffing assignment/support and information flow. The manager plans, develops, implements and evaluates the effectiveness and efficiency of Home Health systems and programs. The Manager coordinates contact with outside agencies, policy interpretation, staffing, and general problem solving; and works in collaboration with the executive team, governing board, medical staff, and community leaders to deliver quality skilled care in the patient’s home. The Manager meets the requirements of the Home Health RN job description and practices according to the Standards and Scope of Practice for the Registered Nurse {Nursing Practice Act (RCW 18.79.010-18.79.902)}.


• Vision, Mission and Values: Organizational vision, mission, values and strategic goals are clearly understood and demonstrated. Maintenance of a positive work and growth environment for all levels of staff by supporting planned change. Uses interpersonal skills to give constructive feedback/criticism in a nonjudgmental, positive and confidential manner.
• Planning and Coordination of Services: Organizes and manages department activities in a manner to produce positive results and appropriate patient care. Develops policies, procedures, and guidelines relating to patient and family care for each service provided, as well as, for the departmental staff. Interprets and implements guidelines of patient care under various reimbursement systems. Assures that patient care services are of high quality and delivered in the most cost effective manner. Maintains program compliance with applicable laws and regulations consistent with Home Health and KVH policies. Ensures that all direct care personnel, contractors, and volunteers initiate emergency measures in accordance with agency policy. Provides services that are within scope of license and are relevant to clinical role performed. Reviews legislation for implications to agency programs. May provide direct patient care on an as needed basis in situations where available staff is unable to safely meet the demand. Must be available 24 hours a day, seven days a week, or designate in writing a similarly qualified alternate to act in the Director’s absence.
• Patient Care Coordination: May perform the initial patient assessment, or may delegate to another Home Health nurse or may accompany the staff nurse on the initial patient visit; determines the appropriateness of admission to Home Health for each patient referred, establishes on-call schedule for 24-hour nursing coverage; monitors staff interaction with attending physician/provider, and any referral needs for the patient, including other therapies/disciplines.
• Communication: Listens to and attempts to resolve multifaceted concerns of patients, families, staff and physicians if they occur. Ensures adequate communication with the interdisciplinary team; plans and conducts departmental meetings, manages and coordinates departmental annual program evaluation; keeps team members, Chief Executive Officer (CEO) and hospital Board of Commissioners informed about any significant changes in agency program. Written and verbal communications are accurately delivered and received in a timely, clear and appropriate manner.
• Process Improvement: Process improvement (PI) is provided through services which reflect understanding and meet patient/customer expectations. Implements quality assurance programs and compiles quality assurance (QA) data/reports using data from: performance improvement/QA results, incident reports, infection reports, clinical record review results; ensures quality assurance (QA) plan includes complaint process, assess patient/family satisfaction, and a method to identify, monitor, evaluate, correct problems identified by the patient/family, staff, or volunteers. Instructs that all direct care personnel, contractors, and volunteers recognize and report changes in patient’s condition and report same to Director or designee. Promotes “cost effectiveness” through identification and implementation of cost saving measures while maintaining quality. Promotes a clean, safe work environment (not the patient’s home) and reports unsafe patient care practices and any other unsafe conditions to CEO/Administration.
• Budget Management: Participates with Administration in the development and monthly management of Home Health budget to achieve operating goals; accountable for monitoring expenditure appropriateness to achieve cost-effective care and budget compliance; analyzes variances and makes adjustments or takes corrective action, as needed, to ensure budget objective compliance for: operating expenses, productivity utilization/FTE staffing requirements, ensures appropriate use of resources to achieve and maintain quality of care, etc.
• Strategic Management: Develops and implements Home Health department goals and objectives for operational effectiveness, quality measurement outcomes, service delivery modification/change, etc., and asses trends and opportunities to advance or change the agency’s market position, etc.
• Department Administration: Develops/evaluates/interprets Home Health policy and practice for all department staff in the delivery of patient care services; reviews and revises policies and procedures annually, coordinates department management activity including: clinical education and competency, CMS survey readiness preparation and other governmental compliance requirements, responding to medical staff needs or concerns, resolving patient complaints or care need issues, adherence to infection-control standards/requirements, compliance with patient record documentation requirements and protection of PHI consistent with regulatory requirements, etc.
• Personnel Management: Determines appropriate staffing levels/requirements, as well as, experience/skills/qualifications needed for all Home Health department positions; manages and motivates employee relations/ behaviors/performance by inspiring through coaching, feedback, evaluation, recognition, staff meetings, etc.; conducts performance appraisals for direct staff reports, reviews other departmental evaluations for management oversight as legally required by Medicare/Medicaid, and disciplines staff as needed, monitors staff turnover and evaluates controllable factors/causes which influence/impact employee separations. Develops or participates in development of training/in-service education or assesses that required in-service requirements are met.
• Staffing/Selection: Participates with HR in the recruitment, interviewing, selection, training and evaluation of Home Health employees. Assesses educational needs of employees and develops or provides educational resources to meet those needs. Establishes and maintains work schedules to ensure adequate and proper staffing to ensure quality patient care; responds to daily staffing needs/adjustments for low/high census, in combination with changes in patient census and acuity mix, etc.
• Productivity: Develops, monitors and adjusts productivity standards; monitors quantity and quality of daily work output of department staff and implements low census staffing adjustments as needed; may use performance indicators to monitor productivity and operational/financial objectives.
• Customer Service: Promotes a culture of “service excellence” within the department by putting courtesy before efficiency. Ensures that employees understand customer service departmental goals, expectations and the connection between customer experience and loyalty.
• Compliance: Demonstrates knowledge of applicable statutory, regulatory and administrative requirements relative to Hospice operation/accreditation and is accountable for department’s compliance; develops records and statistical reporting systems for program documentation, planning, and evaluation.
• Collaboration: Responds as a clinical resource person and role model for staff at KVH.
• Professional Development: Promotes community and professional visibility for KVH. Participates in professional organizations, educational programs and community projects. Supports improvement and innovation in the work place.
• Volunteer Program: Monitors the Home Health volunteer program.
• Perform other duties as assigned.
Minimum Education, Training & Experience (includes licenses or certifications):

Education / Licensure:
• Graduate of an accredited school of nursing with an active RN license in Washington State.
• BSN preferred.
• Have a valid/current driver’s license in the State of Washington/Oregon depending on residence location.
• Possess or has access to reliable vehicle transportation for doing patient care visits.
• BLS required.

• Minimum three (3) years’ nursing experience working in Home Health, along with a minimum of one (1) year experience supervising professional, technical and support nursing staff.
• Knowledge of general departmental operational management, including: budget development/administration, policy administration, strategic goal setting, staff evaluation and management, quality care evaluation and management, Home Health accreditation, etc.
• Knowledge of nursing function/operation and access to resources both administrative and organizational.
• Must meet/maintain the ability to perform the duties of the Home Health RN job description requirements.

• Requires critical thinking and analytical skills, ability to make good decisions, listen and accept advice from others, demonstrate maturity and good judgement and ability to work with limited supervision.
• Demonstrates a thorough working knowledge of nursing theory, techniques, principles and practice in order to holistically care for the patient, especially nursing concepts and regulations which apply to Home Health care and service.
• Promote/develop/deliver excellent customer service for both internal (patients and staff) and external customers (visitors and vendors).
• Must be self-directed, demonstrate initiative, and with a willingness to lead by example.
• Ability to cope with both physical and emotional demands of a dynamic environment.
• Demonstrate positive and effective interpersonal and communication skills with colleagues, patients, families, physicians and the community.
• Work in a stressful, fast-paced/demanding environment and take appropriate action to ensure quality of patient care, and assign work / delegate as appropriate.
• Maintain a calm and composed manner in emergency/stressful situations, taking appropriate action as necessary.
• Demonstrate attention to detail and high degree of accuracy, risk of error could result in significant harm or loss.
• Experience with using everyday tools (e.g., email, data retrieval, voicemail, and internet/intranet) as well as ability to effectively utilize an electronic medical record (EMR).
• Work productively, cohesively within a team and resolve conflict in a positive manner.
• Adaptability is essential to manage the needs of a department with unpredictable volume and limited staff.
• Professional written and verbal communication skills, effective presentation skills, and the ability to read, write, speak and understand English.

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