Clinical Manager

Clinical Manager (Home Health Registered Nurse) Role Summary Are you a skilled Registered Nurse with home health expertise looking to advance into a high-priority leadership role? We are seeking an analytical, detail-oriented Clinical Manager to lead and support patient care services within our structured home health program in San Antonio, Texas. Operating in a hybrid capacity, this crucial leadership position focuses on coordinating interdisciplinary care, reviewing patient referrals, and approving clinical orders. You will serve as a key mentor to our field staff, guiding accurate clinical documentation and collaborating with our Quality Assurance/Performance Improvement (QAPI) team. If you are a proactive RN with a strong background in Medicare regulations and clinical systems, this role offers a perfect platform to balance direct clinical leadership with strategic operational oversight. Duties & Responsibilities Care Coordination & Case Management Caseload Planning: Coordinate, monitor, and oversee comprehensive care planning for all patients under your assigned caseload to ensure excellent care outcomes. Referral & Order Review: Review incoming patient referrals for clinical appropriateness, and approve/co-sign clinical orders, including LVN and follow-up orders. Interdisciplinary Communication: Facilitate regular case conferences, maintaining seamless communication with physicians, schedulers, therapists, and field staff to support continuity of care. Documentation, Compliance & QAPI Quality Assurance Support: Align clinical documentation with billing guidelines and coordinate corrections directly with the QAPI team to maintain compliance. (Note: There is no OASIS review required for this position!) OASIS Guidance: Provide strategic guidance on OASIS documentation and assist field Registered Nurses with structured utilization reviews. Regulatory Compliance: Ensure timely submission of assessments and maintain operations in strict accordance with Medicare Conditions of Participation (CoPs). Team Supervision & Support Supervisory Leadership: Support the Director of Nursing by supervising field staff, assisting with scheduling, and participating in the clinical call rotation and triage responsibilities. Field Visits: Primarily office-based with occasional field responsibilities, including local travel and patient home visits as needed. Required Qualifications Education: Graduate of an accredited School of Nursing (Bachelor's Degree preferred). Licensure: Active, unrestricted Registered Nurse (RN) license in the State of Texas. Clinical Experience: Minimum of one (1) year of recent clinical experience as an RN. Home Health Expertise: At least one (1) year of dedicated, professional Home Health experience is strictly required. Software Proficiency: Direct, hands-on experience utilizing Homecare Homebase (HCHB) software systems. Regulatory Knowledge: Deep understanding of Home Health operations, Medicare Conditions of Participation (CoPs), and OASIS documentation frameworks. Compliance: Must possess a valid Driver's License and be willing to complete a Candidate Attestation. Desired Qualifications Experience Level: 5+ to 7 years of overall professional nursing experience. Leadership History: Prior supervisory or leadership experience in a home health or clinical care setting is strongly preferred. Quality Assurance: Experience with utilization review, formal quality assurance, and clinical performance improvement initiatives. About the Organization We are a premier, home health and patient care services organization dedicated to delivering top-tier clinical care, comprehensive case management, and strict regulatory compliance. Our organization values clinical excellence, operational trust, and strong interdisciplinary alignment. We foster an encouraging, professional workspace where our nursing leaders are fully equipped with modern digital systems and collaborative support to build long-term career success. Location and Work Type Work Type: Full-Time, Permanent Position. No visa sponsorship is available. Work Setting: Hybrid work arrangement based in San Antonio, Texas (Zip Code: 78229), combining remote office work with occasional local travel for patient home visits. Physical Demands: Ability to manage multiple concurrent tasks in a fast-paced environment, lift up to 50 lbs, and support patients physically when required. Total Compensation Range: $105,000 – $142,000 base salary (Commensurate with experience). Performance Bonus: Eligible for up to a $32,000 Annual Bonus based on performance metrics. Comprehensive Benefits Portfolio: Access to premium health, dental, and vision insurance packages alongside generous paid time off (PTO). #J-18808-Ljbffr Salgado LLC