Director of Clinical Management

Director Of Clinical Management

As a Director of Clinical Management at CenterWell Home Health, reporting to the Branch Director, you will direct clinical services provided by the branch. Ensure adherence to federal and state accreditation and company standards for the provision of reimbursable patient services, and compliant clinical records substantiating those services.

As a Registered Nurse Clinical Manager, you will:

• Acts as alternate administrator when BD is not available and shares responsibility with the BD for seeing that regulations and standards are met.
• Participates in developing objectives and standards for the HHA which ensure safe and therapeutically effective services to patients and families.
• Consults with BD to determine a staffing pattern which will accomplish stated objectives and promote maximum level of utilization of clinical personnel.
• Participates in the recruitment, interviewing, selection and orientation of staff members, evaluates their performance relative to job goals/requirements, coaches them and ensures adherence to internal policies.
• Investigates and reports any problems relating to patient care or conditions which might harm the patient and/or employee well being.
• Monitors supplies/equipment for appropriate use and ordering and takes steps to minimize misuse.
• Ensures compliance with infection control standards, including the tracking and trending of employee/patient infections and manages bio-hazardous waste program.
• Ensures that patients' plans of care are developed, implemented and evaluated.
• Conducts monthly staff meetings and/or in services in collaboration with BD.
• Oversees completion of clinical record reviews and PAE's timely. Completes clinical portions of QAPI in collaboration with BD. Ensures adherence to PI plans.
• Oversees scheduling and completion of annual supervisory visits for all field staff.
• Ensures service quality and participates in care coordination to ensure proper communication between caregivers, patients, referral sources and payors. Discuss operational issues, updates staff on new/changed regulations and reviews records/documentation to ensure regulatory and in-house compliance.
• Available to share admin on call rotation as needed; able to perform nursing functions in times of emergent staff shortage.
• Participates in special projects and performs other duties as required.

Required Qualifications:

• Current state license as a Registered Nurse.
• Minimum of 5 years of clinical experience in nursing including acute/home care experience in the past 2 years and 2 years in a supervisory/administrative role.
• Expert knowledge of home health care supervision, home health agency regulations and CMS services required.
• Excellent organizational, problem solving, decision making and communication skills are required.
• Proof of current CPR.
• Valid driver's license, auto insurance and reliable transportation.

Scheduled Weekly Hours: 40

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

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits: Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About Us

About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.

About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer at CenterWell.com.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements.