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Home Health RN Clinical Manager

$77.2k - $106.2k

Humana

Position Overview Join CenterWell Home Health as a Clinical Manager. You will lead and support a team of dedicated clinicians delivering high‑quality home‑care, ensuring excellence in patient care and clinical operations. Responsibilities Oversee clinical operations for the location, including patient care delivery, staff management, documentation quality, and regulatory compliance. 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; 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. Required Qualifications Graduate of an accredited School of Nursing. Current state license as a Registered Nurse. Proof of current CPR certification. Valid driver's license, auto insurance, and reliable transportation. A minimum of 2 years of experience as a Registered Nurse. Traditional home health experience is required. Management and people leadership experience is preferred. OASIS experience is required. OASIS certification (HCS-O, COQS, and/or COS‑C) preferred. Homecare Homebase (HCHB) experience preferred. Foundational knowledge and basic understanding of CMS PDGM preferred. Additional Information Position Type: On‑site at CWHH Florence, SC branch location. Work Schedule: Full‑time (40 Hours). Normal Hours of Operation: M‑F / 8a‑5p (ET). On‑Call Expectation: Yes, rotating on‑call shift. Branch Size: 550+ Census (4.5 STAR rating). Annual Bonus Eligible: Yes, eligible for the annual incentive bonus which has pay‑outs both quarterly and annually. TB Statement: This role is considered patient‑facing and is part of Humana’s TB screening program. If selected, you will be screened for TB. Driving Statement: This role is part of Humana’s driver safety program and requires a valid state driver's license and personal vehicle liability insurance. The insurance must meet state minimum required limits or higher. Scheduled Weekly Hours: 40. Pay Range: $77,200 – $106,200 per year. This job is eligible for a bonus incentive plan. Benefits Humana, Inc. offers competitive benefits, including medical, dental, and vision coverage; 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 other opportunities. Equal Opportunity Employer Humana is an equal‑opportunity employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability, or veteran status. We take affirmative action and base all employment decisions on valid job requirements. #J-18808-Ljbffr Humana

Vacancy posted 3 days ago
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