RN Clinical Manager, Home Health

Overview Become a part of our caring community and help us put health first . Reports To: Associate Director, Home Health Branch Administrator. FLSA: Exempt. Work Schedule : Full-time/40 Hours. Position Type : On-site. Branch Location : Kannapolis, NC. This RN Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel, focusing on both home health clinical quality assurance and home health clinical operations initiatives. Responsibilities Develops, plans, implements, analyzes, and organizes clinical operations for a specific location managed. Conducts/delegates the assessment and reassessment of patients, including updating of care plans and interpreting patient needs, while adhering to Company, physician, and/or health facility procedures/policies. Manages the assignment of caregivers. Responsible for and oversees the delivery of care to all patients served by the location. Receives case referrals. Reviews available patient information related to the case, including disciplines required, to determine home health or hospice needs. Accountable to ensure patients meet admission criteria and make the decision to admit patients to service. Assigns appropriate clinicians to a case, as needed. Instructs and guides clinicians to promote more effective performance and delivery of quality home care services and is available at all times during operating hours to assist clinicians as appropriate. Assists clinicians in establishing immediate and long-term therapeutic goals, in setting priorities, and in developing patient Plan of Care (POC). Monitors cases to ensure documentation is in compliance with regulatory agencies and third-party payer requirements. Ensures final audits/billing are completed timely and in compliance with Medicare regulations. Coordinates communication between team members/attending physicians/caregivers to ensure the appropriateness of care and outcome planning. Works with the Branch Director and Company Finance Department to establish location revenue and budget goals. Participates in sales and marketing initiatives. Supervises all clinical employees assigned to the location. Oversees the overall direction, coordination, and evaluation of the location in accordance with Company policies and procedures. Handles necessary employee corrective action and discipline in consultation with Human Resources and the Executive Director/Director of Operations. Participates in interviewing, hiring, training, and development of direct care clinicians. Evaluates performance relative to goals and requirements. Coaches staff and recommends in-service education programs. Ensures adherence to internal policies and standards. Assesses staff education needs based on review of clinical documentation and feedback from Utilization Review. Conducts regular staff education as needed. Analyzes situations, identifies problems, and evaluates alternatives through Performance Improvement principles. Oversees review of case management and clinical staff documentation for starts-of-care, resumption-of-cares, and re-certifications for appropriateness and documentation requirements. Responsible for QA/PI activities and data tracking with Utilization Review to assess performance and outcomes of care, and for staff management activities. May provide direct patient care on an infrequent basis, and only in times of emergency. Acts as Branch Director in the absence of the Branch Director. Interprets Company standards and policies to ensure compliance with external regulatory authorities and internal documentation standards. Education Associate degree in Nursing (ADN) required; Bachelor of Science in Nursing (BSN) strongly preferred. License/Certifications Active and unrestricted Registered Nurse (RN) license or Compact State RN license with authorization to practice in the state of North Carolina. Proof of current CPR card and/or BLS certification. Required Experience/Skills Valid driver’s license, auto insurance and reliable transportation. A minimum of 2 years of experience as a Registered Nurse (RN). Background in home-based care settings, including traditional home health, hospice, or palliative care is strongly preferred. Management and people leadership experience is strongly preferred. OASIS experience is strongly 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. Additional Information Normal Hours of Operation: M-F / 8a-5p (ET) On-Call Expectation: Yes, rotating on-call shift. Branch Size: 506+ Census (3.0 STAR rating) Annual Bonus Eligible: Yes, eligible for the annual incentive bonus with quarterly and annual payouts. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full-time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job-related skills, knowledge, experience, education, certifications, etc. $77,200 - $106,200 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description Of Benefits Humana, Inc. and its affiliated subsidiaries offer competitive benefits that support whole-person well-being. Benefits include medical, dental and vision coverage, 401(k) retirement plan, paid time off, holidays, volunteer time off, paid parental and caregiver leave, disability insurance, life insurance, and additional opportunities. About Us About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As a large provider of senior-focused primary care, home health services, and pharmacy benefits, CenterWell focuses on whole-person health. 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 individuals with disability or protected veteran status, and to base all employment decisions on valid job requirements. #J-18808-Ljbffr