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Home Health RN Clinical Manager

$25k

Humana

Become a part of our caring community. As a Clinical Manager at CenterWell Home Health, reporting to the Branch Director, you support a team of dedicated clinicians who deliver compassionate, high quality care in the home setting. By guiding clinical practice, coordinating patient services, conducting quality assurance reviews, and ensuring excellence in every step of the care journey, you'll empower patients to achieve their highest level of independence while helping your team thrive in their roles. Position Type: On‑site at CWHH Hope, AR branch location Work Schedule: Full‑time / 40 hours Responsibilities 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. Review and audit clinical documentation (OASIS, visit notes, plan of care) for accuracy, completeness, and compliance with Medicare/CMS accreditation standards. Collaborate with field‑based clinicians to ensure timely submission of documentation and resolve deficiencies or inconsistencies. Assist with OASIS accuracy and validation; ensure data entry aligns with care plans and physician orders. Monitor outcome‑based quality indicators and assist in developing performance improvement plans. Participate in quality improvement projects, internal audits, and regulatory survey readiness. Track and report quality metrics, trends, and areas for improvement to leadership. Provide staff education and support with compliance issues and documentation standards. Stay current on federal and state regulations related to home health care and quality assurance. Provide direct patient care on a limited basis in exceptional or unplanned circumstances. 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 preferred. Management and people leadership experience is preferred. OASIS experience is preferred. OASIS certification (HCS‑O, COQS, and/or COS‑C), preferred. Homecare Homebase (HCHB) experience is preferred. Foundational knowledge and basic understanding of CMS PDGM is preferred. Work Hours & On‑Call Normal Hours of Operation: Monday–Friday / 8a.m. – 5p.m. (ET) On‑Call Expectation: Yes, rotating on‑call shift. Benefits & Bonus Annual bonus eligible – paid quarterly and annually. Day‑1 benefits: PTO + paid holidays, 401(k) with company match, disability & life insurance, wellness/financial programs, EAP, and personalized healthcare navigation (at no cost). Career growth & education support, work‑life balance & leave programs, TB screening program eligibility. Screening & Safety Requirements This role is considered patient‑facing and is part of Humana's Tuberculosis (TB) screening program; TB screening is required. This role is part of Humana's driver safety program; requires a valid state driver’s license and maintenance of personal vehicle insurance with minimum limits ($25,000 bodily injury per person / $25,000 bodily injury per event or $10,000 for property damage, whichever is higher). Equal Opportunity Employer Humana is an equal opportunity employer. We do not discriminate against employees or applicants for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability, or protected veteran status. Humana takes affirmative action, in compliance with Section503 of the Rehabilitation Act and VEVRAA, to employ and advance individuals with disability or protected veteran status. All employment decisions are based on job‑related, valid requirements and are made in a fair, nondiscriminatory manner. #J-18808-Ljbffr

Vacancy posted 2 days ago
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