Weekend Clinical Care Manager

Description

The Clinical Care Manager serves as the clinical point of contact for a caseload of home care clients, their families, and assigned caregivers. This role blends nursing judgment with hands-on care coordination, functioning as the first line of triage for medical concerns, caregiver performance issues, scheduling conflicts, and interpersonal challenges that arise in the home care setting. The ideal candidate is a licensed nurse (RN) who can move fluidly between clinical assessment, conflict resolution, and administrative problem-solving — often within the same phone call.

Key Responsibilities

Clinical Triage & Medical Support

• Serve as the first point of contact for incoming      clinical calls; triage symptoms and determine appropriate level of urgency      and response.
• Evaluate and respond to reported changes in      condition, including vital sign abnormalities (e.g., low or high blood      pressure), altered mental status (AMS), suspected UTIs, suspected yeast      infections, rashes, and other new or worsening symptoms.
• Provide guidance following incidents such as      patient falls, including assessment recommendations, escalation to      EMS/physician when warranted, and documentation.
• Answer patient and family medical questions within      scope of nursing practice, escalating to a physician, on-call nurse, or      appropriate provider when outside scope.
• Apply clinical nursing judgment to evaluate      medication administration decisions against current vital signs and      prescriber-established parameters (e.g., withholding an antihypertensive      when a client's blood pressure falls below a specified threshold), and      determine appropriate next steps, including physician notification, when a      dose is held or missed.
• Ensure all medication administration and      medication assistance performed by home health aides and CNAs complies      with the Florida Nurse Practice Act (F.S. 464.0156), F.S. 400.488–400.489,      and applicable Florida Administrative Code provisions (64B9-14), including      confirming that only properly delegated, trained, and competency-validated      unlicensed personnel administer or assist with self-administered      medication, and that no unlicensed staff administer Schedule II–IV      controlled substances.
• Conduct or oversee the registered nurse review and      medication reconciliation required before a home health aide or CNA may      assist with self-administration of routine medications, per F.S. 400.488,      and ensure appropriate written consent is on file.
• Monitor and respond to antibiotic administration      questions, including timing, missed dose protocols, and observed adverse      reactions or lack of therapeutic response, escalating to the prescribing      provider as needed.
• Provide ongoing case oversight for general      medication management concerns — including polypharmacy, refill/access      issues, and caregiver or family confusion about the medication regimen —      consistent with the client's individualized plan of care.
• Coordinate with providers, dialysis centers, and      outside agencies regarding appointment changes, missed or rescheduled      treatments (e.g., changed dialysis appointments), and care plan updates.
• Communicate and collaborate with tribal case      management, insurance case managers, and other external stakeholders      regarding client care plans and authorizations.

Caregiver Oversight & Coordination

• Address and resolve concerns related to caregiver      performance, including caregivers not preparing meals, not completing      light housekeeping duties, leaving a patient unattended, refusing to      drive, or calling out on short notice.
• May assist with managing last-minute caregiver      call-offs by identifying and dispatching replacement coverage to avoid      gaps in care.
• Investigate and mediate reported personality or      compatibility conflicts between clients and caregivers.
• Support caregivers in navigating scheduling and      care delivery challenges, including animal-related concerns in the home      (e.g., pets affecting caregiver safety or ability to perform duties).
• Provide assistance processing and managing client      requests to remove or replace a caregiver, ensuring continuity of care      during the transition.
• Train and support caregivers on use of the      AlayaCare (or comparable EVV/scheduling) system; troubleshoot system      access and documentation issues.

Communication, De-escalation & Family Support

• De-escalate and professionally manage interactions      with angry, upset, or difficult patients and family members.
• Respond calmly and empathetically to patients who      are being verbally difficult ("mean") or resistant to care,      using de-escalation and therapeutic communication techniques.
• Manage family expectations, including situations      where family members request additional attention or support for      themselves in addition to the client.
• Maintain clear, professional, and timely      communication across all parties — clients, families, caregivers,      providers, and internal staff — both verbally and in      writing/documentation.

Documentation & Compliance

• Document all clinical assessments, incident      reports, communications, and care plan changes accurately and promptly in      accordance with agency policy and regulatory requirements.
• Ensure care plans remain current and reflect any      changes in client condition, caregiver assignment, or service needs.
• Maintain compliance with HIPAA and all applicable      state/federal home care regulations.

Requirements

• Active, unencumbered nursing license (RN or      LPN/LVN) in the state of practice.
• Minimum of 2–3 years of clinical nursing      experience; home health, hospice, or care management experience strongly      preferred.
• Working knowledge of common geriatric and chronic      conditions (hypertension, UTIs, altered mental status, skin/wound issues,      etc.).
• Experience with electronic visit verification      (EVV) or care management software (e.g., AlayaCare) preferred.
• Strong triage and clinical decision-making skills,      with sound judgment on when to escalate.
• Demonstrated ability to de-escalate emotionally      charged situations with patients, families, and staff.

Core Competencies

• Clinical Judgment: Able to quickly assess symptoms and determine      appropriate action, from self-resolving issues to emergency escalation.
• Critical Thinking & Problem-Solving: Comfortable managing multiple, often unrelated      issues (clinical, interpersonal, logistical) in a single shift.
• Empathetic & Professional Communication: Communicates with warmth and patience under      pressure, while maintaining clear boundaries and professionalism.
• Flexibility & Adaptability: Able to pivot quickly between a medical      emergency, a scheduling conflict, and a family complaint without losing      composure.
• Conflict Resolution: Skilled at mediating disputes between clients and      caregivers, and de-escalating angry patients or family members.
• Organizational Skills: Manages a high volume of concurrent issues,      follow-ups, and documentation requirements.
• Technology Proficiency: Comfortable learning and troubleshooting      scheduling/EVV platforms and supporting caregivers who struggle with the      system.

Working Conditions

• Primarily remote, with potential for occasional      in-home visits.
• Requires availability to respond to urgent client      or caregiver issues after normal business hours.
• Fast-paced environment requiring the ability to      manage frequent interruptions and shifting priorities.