RN Clinical Manager, Home Health

Position Overview 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 at every step, you empower patients to achieve the highest level of independence while helping your team thrive. Key Responsibilities Guide, support, and educate clinicians; assist in goal setting, 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, ensuring data entry aligns with care plans and physician orders. Monitor outcome‑based quality indicators and help develop 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. Minimum 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. Minimum of 2 years of experience as a Registered Nurse. Home‑health experience or related background in home‑based care settings (e.g., hospice, palliative care, personal‑care assistance) is strongly preferred. Management and people‑leadership experience is required. OASIS experience is preferred. OASIS certification (HCS‑O, COQS, or COS‑C) preferred. Homecare Homebase (HCHB) experience preferred. Foundational knowledge and basic understanding of CMS PDGM preferred. Additional Requirements The role is patient‑facing and part of Humana’s Tuberculosis (TB) screening program. TB screening is required. The role also falls under Humana’s driver‑safety program; candidates must maintain a valid state driver’s license and personal‑vehicle liability insurance in accordance with state minimum limits. Compensation & Benefits Base pay range: $77,200–$106,200 per year (based on location and experience). Sign‑on bonus up to $15,000. Annual incentive bonus (quarterly and annual payouts). PTO, paid holidays, 401(k) with company match, disability and life insurance. Wellness and financial programs, employee assistance program (EAP), and personalized healthcare navigation (no cost). Career‑growth and education support, work‑life balance and leave programs. Work Schedule & Hours Location: CWHH Bluffton, SC (on‑site). Full‑time, 40 hours per week. Normal hours: Monday–Friday, 8a.m.–5p.m. (ET). Rotating on‑call shift (yes). Employer Information CenterWell Home Health, a Humana company, specializes in personalized, comprehensive home care. The Bluffton branch serves over 250 patients and holds a 5.0‑STAR rating. 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. 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, and bases all employment decisions on valid job requirements. #J-18808-Ljbffr