RN Clinical Manager

CenterWell Home Health - Avon, IN

Job Title: RN Clinical Manager

Position: Clinical Manager overseeing home health patient services

Job Type: Full-time

Pay: $77,200 - $106,200 per year

Shift: M-F / 8 AM - 5 PM (ET)

Work Type: On-site

Location

Address:

City: Avon

State: IN

ZIP Code:

Job Responsibilities

Coordinate and oversee all direct care patient services provided by clinical personnel.
Focus on home health clinical quality assurance and clinical operations initiatives.
Develop, plan, implement, analyze, and organize clinical operations for the location managed.
Conduct and delegate assessments and reassessments of patients, updating care plans and interpreting patient needs.
Manage the assignment of caregivers and oversee delivery of care to all patients served by the location.
Receive case referrals and determine home health or hospice needs based on available patient information.
Ensure patients meet admission criteria and make decisions to admit patients to services.
Assign appropriate clinicians to cases as needed.
Instruct and guide clinicians to promote effective performance and quality home care services.
Assist clinicians in establishing therapeutic goals and developing patient Plans of Care (POC).
Monitor cases for compliance with documentation and regulatory agencies.
Ensure audits and billing are completed timely and in compliance with Medicare regulations.
Coordinate communication between team members, attending physicians, and caregivers.
Work with Branch Director and Finance Department to establish revenue and budget goals.
Participate in sales and marketing initiatives.
Supervise clinical employees assigned to the location.
Carry out supervisory responsibilities according to Company policies and procedures.
Handle employee corrective actions and discipline issues fairly and objectively.
Participate in the interviewing, hiring, training, and development of direct care clinicians.
Evaluate staff performance relative to job goals and recommend in-service education programs.
Assess staff education needs and conduct regular education as needed.
Analyze problems and evaluate alternative action courses using Performance Improvement principles.
Review Case Managers and clinical staff documentation for appropriateness and compliance.
Manage QA/PI activities and work with Utilization Review on data tracking.
Perform patient care assignments on an infrequent basis during emergencies.
Act as Branch Director in absence.
Interpret Company standards and policies to ensure regulatory compliance.
Participate in performance improvement activities and maintain clinical knowledge.
Maintain relationships with referral sources and participate in professional organizations.
Conduct care-related programs and perform other duties as assigned.

Required Skills

Core Skills

Registered Nurse with a current state license
Management and leadership experience in home care or hospice
OASIS experience
CPR certification
Valid driver's license and reliable transportation
Ability to analyze situations and identify problems

Preferred Skills

OASIS certification (HCS-O, COQS, and/or COS-C)
Homecare Homebase (HCHB) experience
CMS PDGM billing knowledge or experience

Requirements

Experience: Two years as a Registered Nurse with at least one-year of management experience in a home care, hospice or equivalent environment.

Education: Graduate of an accredited School of Nursing.

License & Certification:

Current state license as a Registered Nurse
CPR certification

Schedule:

On-call expectation required.

COVID-19 Requirements: Not Specified

Benefits

Medical, dental, and vision benefits
401(k) retirement savings plan
Paid time off, including company and personal holidays
Volunteer time off
Paid parental and caregiver leave
Short-term and long-term disability
Life insurance
Opportunities for personal wellness and smart healthcare decisions

Supplemental Pay

Annual incentive bonus eligible, with pay-outs both quarterly and annually.

Special Notes

Equal Opportunity Employer - Humana does not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status.

Facility Details

Name: CenterWell Home Health

Description: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization.

Specialties: