The Team Manager is the leader of the Patient Care Team and that member of the team whose function is to: supervise, evaluate and coordinate the various component members of the interdisciplinary team; assure continuity of care from admission to discharge or transfer to bereavement; serve as patient advocate and coordinator for other social service and health care providers in the community who are involved in the care of the team's patients; assume responsibility for the maintenance of patient records from intake through discharge or transfer to bereavement

Directs all patient care services for the team, including volunteer and bereavement, and ensures that services are rendered as integrated components of the interdisciplinary plan of care

Reviews information on all pending patient admissions, all new admissions (assessments and history) and "alive" discharges to assure that eligibility and appropriateness criteria are met

Collaborates with both the team physician and the attending physician regarding palliative care measures for pain and symptom management

Assures complete and accurate data and documentation are available to make recertification decisions and further assures that those decisions are made on a timely basis

Reviews all imminent "alive" discharges to assure effective discharge planning

Monitors the type and level of team services provided (staffing, medications, HME, supplies, level of care changes to inpatient and continuous care, etc.)

to assure that they are appropriate and responsive to patient/family needs and expectations

Manages the team schedule and assures coordination of services 24 hours a day, 7 days a week to all patients on the team

Facilitates team meeting, assuring interdisciplinary input into the update and revision of the plan of care in concert with the changing needs and expectations of the patient and family

Participates in on-call rotation

Staff Supervision and Management

Interviews, selects, trains, supervises, evaluates and dismisses team staff in conjunction with the Patient Care Administrator

Assures staff competence and performance levels through making field visits, evaluating documentation and providing team based in services on Vitas values, hospice principles and practices and specific team growth needs

Acts as a resource and mentor for staff re clinical issues, documentation, inter- and intra- team problem solving and appropriate customer service behavior

Oversees staff and volunteer schedules, scheduling and territory assignments to assure that workload is distributed equitably and that all staff are able to meet overall productivity expectations

Reviews and approves payroll, assuring that employees have documented accurate time, mileage and additional expenses

Quality Improvement/Regulatory Compliance

Monitors clinical records and all team activities to ensure that they are accurate, complete and meet required standards in accordance with VITAS policy and all regulatory bodies

Develops and implements performance improvement activities to respond to service issues and challenges and participates from time to time in program relating to quality and service improvement

Ensures that team completes proactive and other patient/family satisfaction surveys, and implements Quality Improvement measures and standards

Assists with surveys and requests from regulatory bodies and intermediaries as directed by local program

Performs substantive chart reviews to assure there is evidence that quality care is being delivered

Participates in the Outcomes Management and annual program review

Performs utilization review of continuous care and inpatient levels of care for all patients on team

Customer Service/Sales/Marketing

Assures that problems/grievances/service failures experienced by individual patients/families or physicians/MCOs are addressed with team members, vendors, other VITAS departments, and are resolved promptly and satisfactorily

Analyzes customer service issues on team to identify causes and works with individual team members as well as entire team to improve performance

Personally speaks with patients/families and their attending physicians when patient is considering revocation to seek satisfactory solutions to avoid unnecessary revocation

Regularly visits LTC and Contract Bed facilities to assure care plan integration, customer satisfaction and to discuss criteria for determining appropriateness

Participates in providing inservices to customers along with other team members, Patient Care Administrators and other program staff

Participates in professional, voluntary or community service organizations

Verifies/approves admitting IPOC diagnosis, treatments, staffing and supplies

Monitors utilization of resources by every patient to assure cost effective delivery of services

Controls and is accountable for productivity, labor and all related patient care costs with respect to budget

Approves all bills/invoices related to patient care services

Attends inservices, educational seminars and workshops

Develops and achieves professional growth goals and objectives

Participates as a mentor of newly hired Team Managers

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