Registered Nurse (RN) Clinical Supervisor

Position Summary The Registered Nurse (RN) - Clinical Supervisor is responsible for clinical oversight of in-home aides, personal care staff, and direct support personnel providing services to clients in home and group home settings. The RN ensures clinical services are delivered in accordance with: North Carolina Medicaid Clinical Coverage Policies (including Personal Care Services and applicable waiver services) NC Division of Health Service Regulation (DHSR) requirements NCTracks documentation and billing standards North Carolina Board of Nursing standards of practice HIPAA and federal CMS regulations The RN provides clinical assessment, care planning oversight, staff competency validation, and ensures safe, person-centered care delivery Primary Responsibilities 1. Clinical Oversight and Supervision Provide nursing supervision of in-home aides and direct care staff. Conduct initial and ongoing client nursing assessments, as required. Evaluate client health status and identify skilled nursing needs. Ensure care delivery aligns with physician orders (if applicable). Conduct supervisory visits in accordance with Medicaid and DHSR requirements. Delegate tasks within scope of practice per North Carolina Board of Nursing guidelines. 2. Care Planning and Service Authorization Compliance Review and contribute to individualized service plans. Ensure services provided match authorized Medicaid services. Update care plans when client condition changes. Communicate changes in client status to physicians or appropriate providers. Ensure services remain within scope and avoid duplication. 3. Staff Competency and Training Assess competency of in-home aides in: ADL assistance Infection control Medication reminders (if allowed) Safe transfers and mobility Use of adaptive equipment Provide clinical in-services and training. Ensure staff maintain required certifications (CPR, First Aid). Reinforce emergency preparedness procedures. 4. Documentation and Regulatory Compliance Review caregiver documentation for clinical accuracy. Ensure documentation meets NC Medicaid and NCTracks standards. Verify compliance with Electronic Visit Verification (EVV) when applicable. Maintain clinical records in accordance with HIPAA. Participate in audits and regulatory surveys. 5. Risk Management and Incident Response Review clinical incidents and adverse events. Conduct nursing assessments following injuries or health changes. Implement corrective clinical interventions. Participate in root cause analysis when necessary. Ensure client safety measures are implemented. 6. Infection Control Oversight Monitor compliance with infection prevention policies. Provide guidance during infectious disease outbreaks. Ensure appropriate PPE usage. Update protocols consistent with state and federal guidance. 7. Emergency Preparedness Assist with emergency planning for medically fragile clients. Identify clients requiring priority evacuation. Ensure backup supplies and adaptive equipment plans are in place. Provide clinical direction during emergencies. Minimum Qualifications Active, unrestricted Registered Nurse (RN) license in North Carolina. Graduate of an accredited nursing program. Minimum of 2 years of clinical experience (home care experience preferred). Current CPR certification. Knowledge of Medicaid regulations and homecare standards. Ability to pass criminal background and OIG exclusion screening. Required Competencies Strong clinical assessment skills Knowledge of delegation standards Familiarity with Medicaid documentation requirements Infection control expertise Supervisory and leadership ability Strong communication and documen ation skills Physical Requirements Ability to travel to client homes and group homes. Ability to lift or assist with patient transfers as needed. Ability to respond during emergencies. Ability to perform clinical assessments in varied environments. Authority The Registered Nurse has authority to: Recommend modification of care plans. Remove an aide from assignment for safety concerns. Escalate clinical concerns to physicians or Agency Director. Recommend additional skilled services when warranted. Suspend services if immediate client safety is at risk. Performance Evaluation The RN will be evaluated annually based on: Clinical supervision effectiveness Compliance with regulatory standards Documentation accuracy Incident management outcomes Staff competency development Client health and safety outcomes