Covenant Health

Registered Nurse Clinical Supervisor, Hospice Administration

Full Time, 80 Hours Per Pay Period, Variable Shifts

Homecare and Hospice Overview: 

Covenant Health HomeCare and Hospice is the area’s largest locally owned home health and hospice provider, with one of the largest rehabilitation departments in East Tennessee. Our HomeCare and Hospice services are part of Covenant Health, East Tennessee’s largest nonprofit health system and a Becker’s “Top 150 Places to Work in Healthcare.” Covenant Health includes nine hospitals and nearly 150 service locations, offering employees a comprehensive benefits package with tuition reimbursement, student loan assistance, certification bonuses, and leadership development programs. 

Position Summary:

The Clinical Field Staff Supervisor (CFSS) ensures the overall coordination of home health and hospice services provided to all clients is delivered according to acceptable standards of practice. The CFSS contributes to the overall company success of providing by effectively facilitating the relationship between referral sources, patients, caregivers and employees.

• Responsible for Referral Intake and Management to ensure that clients receive assessment visits and that these visits are scheduled and performed timely per agency policy.
• Leads Case Conference for HomeCare/IDG for Hospice and address recert/discharge decisions based on Case Conference/IDG findings. Reviews and approves Case Conference/IDG Coordination notes submitted by case managers and attach to Episode Detail Report. Enters Case Conference/IDG coordination notes within 48 hours of the Case Conference/IDG meeting. Contacts physicians to obtain orders for continued service provision or add-on services.
• Reviews orders as they appear on the action screen. Approves or declines as appropriate. Follows up with Licensed Professional as necessary when editing an order. For hospice, approves level of care orders and ensure appropriate criteria is met.
• Enters and approves all orders for tracking purposes and route to Medical Records to be sent for physician signature. Ensures any corrections are made by the Licensed Professional who wrote the order prior to approving the order. Updates the client’s medication profile and schedule as applicable; via the order. Ensures all orders that address frequency have appropriate calendar modification completed.
• Ensures that there are existing orders for requested medical supplies.
• Follows up on orders from the Order Tracking Report when the MRS is unable to retrieve the unsigned order.
• Enters detailed Non-Admit information into HCHB in Coordination Notes if no visit was made. Ensures the Clinical Manager approved the non-admission.
• Reviews and processes vital sign alert reports. Documents action, any follow-up and physician notifications.
• Reviews and processes all wound score deviations documenting any action and/or follow-up.
• If the PSC is not an LVN/LPN, receives lab reports and assesses for normality. Forwards lab reports to the PSC for faxing to the physician.
• Communicates information among departments as necessary for Quality care and Process Improvement.
• Takes administrative on-call when required as a support to the on-call nurse and provides software management related to processing intakes, reviewing evaluation packets, and scheduling, moving, reassigning visits to ensure the smooth function of the agency during off hours.
• Participates in on-call rotation.
• Provides for ongoing supervision and evaluation of assigned Homecare staff.
• Reviews and follows up on entitlement verification issues. Documents action in Coordination notes.
• Assurance of verification of benefits and authorization for services on all non-Medicare patients as obtained by intake and authorization staff.
• Reviews on-call coordination notes reports every morning.
• Follows up on identified deficiencies related to the billing claims audit within 24 hours following receipt of the Billing Claims Held Reports.
• Oversees the Notification of Missed Visits and submits to physicians.
• Acts as a backup and resource for the Patient Services Coordinator in rescheduling missed and declined visits, and processing reassigned and rescheduled requests to ensure timely completion of these tasks.
• Assists timekeeper with approvals and scheduling of CTO time.
• Analyzes and identifies excess staff, or need for additional staffing, according to approved staffing ratios and submits to Clinical Manager for approval/action.
• Assures accuracy, completeness and timeliness of all documentation.
• Develops action plan with staff for improvement of documentation deficiencies, evaluates progress and initiates disciplinary process as appropriate.
• Notifies leadership/billing office of failure to obtain orders for services provided.
• Schedules staff meetings regularly in collaboration with PR/QI for all staff members to provide opportunity for education, problem solving and communication of information. Identifies opportunities for improvement in processes and communicates to Clinical Manager.
• Initiates disciplinary process with staff who are not meeting professional/ethical standards. Keeps Clinical Manager informed and seeks guidance as needed.
• Actively participates on agency committees, task forces and teams when requested.
• Assures needs of team are met and reports needs to Clinical Manager.
• Serves as manager designee in the absence of the Clinical Manager.
• Participates in hiring of new employees in collaboration with PR/QI and Managers.
• Collaborates with PR/QI in conducting performance appraisals for clinical staff directly supervised and keeps Clinical Manager informed.
• Works with PR/QI to ensure all new employees complete required orientation and training.
• Participate in community awareness programs as necessary.
• Local travel required.
• Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested.
• Perform other related duties as assigned.

Minimum Education :          

None specified; however, must be sufficient to meet the standards for achievement of the below indicated license and/or certification as required by the issuing authority.

Minimum Experience:

One (1) year of home health or hospice experience required. Three (3) years as home health field staff nurse preferred with broad experience in use of high tech equipment; knowledge of Medicare guidelines. Excellent communication skills; Conflict resolution skills; Effective teambuilding skills; Organization and Delegation skills; Ability to confront difficult situations effectively. Preference may be given to individuals with supervisory, management experience.

Licensure Requirement:

Must have and maintain RN license in state of Tennessee.

Hospice Supervisors must also have and maintain Hospice and Palliative Care Certification (may be obtained within one (1) year of employment). Employee must have and maintain a Tennessee driver’s license Class D and state mandated minimum insurance coverage. Driving record must meet Covenant Health minimum standards at the date of hire and throughout employment tenure.