RN Clinical Manager - Home Health Operations & Compliance

Explore opportunities with Patient Care, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. As the Clinical Manager, you are responsible for ensuring high-quality, cost-effective patient care. You oversee the daily operations of the agency, managing key functions such as scheduling, staffing, intake, physician communication, billing, and compliance. Your leadership keeps everything running smoothly, ensuring both clinical excellence and operational efficiency. Primary Responsibilities Evaluate patient eligibility and reimbursement criteria for home care services; collaborate with Agency Director on referral acceptance and care planning Schedule and ensure timely documentation of initial assessments Coordinate with Case Coordinators to ensure appropriate staffing and coverage Monitor patient utilization for compliance with physician orders, agency policies, and funding guidelines; investigate and resolve unfilled shifts Assist with scheduling for Case Managers, nurses, and PRN staff; ensure timely and accurate documentation submission Approve and update plans of care (POC), including verbal orders, medications, and treatments Ensure timely completion of recertifications and verify plan of care content and compliance with policies Conduct routine and supervisory field visits as required by state regulations Support training and orientation of newly hired nurses, caregivers, and staff Required Qualifications Registered Nurse (RN) license in the state of practice Solid understanding of home care regulations and reimbursement mechanisms State Specific Requirements CT: RN with one of the following: Bachelor's degree in nursing + 2 years full-time clinical experience (2 in home health or related) Associate degree in nursing + 3 years full-time clinical experience (2 in home health or related) Diploma in nursing + 3 years full-time clinical experience (2 in home health or related) Preferred Qualifications Bachelor's degree in nursing, healthcare, healthcare technology, or education 1+ years of home care experience Supervisory or management experience Experience in staff training or orientation Ability to manage schedules, documentation, and compliance processes Salary and Benefits Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401(k) contribution (all benefits are subject to eligibility requirements). The salary for this role will range from $59,664 to $89,496 annually based on full-time employment. We comply with all minimum wage laws as applicable. Equal Employment Opportunity UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state or federal laws, rules, or regulations. #J-18808-Ljbffr Council of State and Territorial Epidemiologists