Home Health Clinical Manager
$25kCenterWell Primary Care
Responsibilities Oversee clinical operations for the location, including patient care delivery, staff management, documentation quality, and regulatory compliance, working onsite in-office. Review referrals, determine admission appropriateness, assign clinicians, and ensure Plans of Care meet patient needs and agency standards. Guide, support, and educate clinicians; help goal‑set, care planning, and clinical decision‑making; and remain available during operating hours for clinical support. Ensure clinical documentation, audits, and billing meet Medicare, payer, and company standards; monitor case management quality and outcomes. Participate in hiring, training, performance evaluation, coaching, and corrective action for clinical staff. Conduct ongoing staff education based on documentation review, utilization review findings, and performance improvement data. Coordinate communication among physicians, team members, and caregivers to support care coordination, discharge planning, and outcome achievement. Participate in quality improvement, data tracking, budgeting activities, marketing initiatives, and community relationship development. Provide direct patient care on a limited basis in exceptional or unplanned circumstances and act as Branch Director in their absence. Perform additional tasks to support clinical operations and organizational goals. Qualifications Current state license as a Registered Nurse. Proof of current CPR. Valid driver's license, auto insurance, and reliable transportation. Two years as a Registered Nurse with at least one year of management experience in a home care, hospice, or equivalent environment. Additional Information TB Statement: This role is considered patient‑facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB. Driving Statement: This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and to maintain personal vehicle liability insurance in accordance with their residing state's minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher. Pay Range $77,200 - $106,200 per year. This job is eligible for a bonus incentive plan. The incentive opportunity is based upon company and/or individual performance. Benefits Humana offers medical, dental, and vision benefits, a 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short‑term and long‑term disability, life insurance, and many other opportunities. 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. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. #J-18808-Ljbffr
$34.96 - $36.81 per hour
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$55k - $64k
...connects healthcare professionals with clinical and non-clinical opportunities... ...Perform integrated case management functions with high risk members Help Health Plan members achieve their goals,... ...local San Antonio area Work mostly home based! Work with NCQA guidelines...Work from homeLocal area- Enhabit Home Health & Hospice, based in Tulsa, Oklahoma, seeks dedicated individuals for professional representation in home health services. Ideal candidates will possess a college degree or equivalent experience, showcasing at least one year in professional practice....Work from home
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$120.54k - $129.04k
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$66.58k - $142.58k
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