Registered Nurse Clinical Manager

Humana Marion, OH $77,200 - $106,200
Full Time Mid Level 2+ years

Posted 3 weeks ago

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About This Role

This role coordinates and oversees all direct care patient services provided by clinical personnel, focusing on home health quality assurance and operations initiatives. You will report to the Branch Director in Marion, OH, contributing to the delivery of quality home care services.

Responsibilities

  • Develop, plan, implement, analyze, and organize clinical operations for a specific managed location
  • Conduct and/or delegate patient assessment and reassessment, care plan updates, and interpretation of patient needs
  • Manage the assignment of caregivers to cases
  • Oversee the delivery of care to all patients served by the location, including case referrals and admission decisions
  • Instruct and guide clinicians to promote performance and delivery of quality home care services
  • Monitor cases for compliance with regulatory agencies and third-party payer requirements, ensuring timely final audits/billing
  • Coordinate communication between team members, physicians, and caregivers for appropriate care and outcome planning
  • Supervise all clinical employees, including interviewing, hiring, training, development, and performance evaluation
  • Assess staff education needs and conduct regular education sessions
  • Perform QA/PI activities, working with Utilization Review staff for data tracking and performance analysis

Requirements

  • Graduate of an accredited School of Nursing
  • 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
  • Home health experience is required
  • OASIS experience
  • Homecare Homebase (HCHB) experience

Qualifications

  • Graduate of an accredited School of Nursing
  • 2 years as a Registered Nurse with at least one-year of management experience in a home care, hospice or equivalent environment. Home health experience is required.

Nice to Have

  • Management and people leadership experience
  • CMS PDGM billing knowledge and/or experience

Skills

Homecare Homebase (HCHB) * OASIS *

* Required skills

Benefits

Life Insurance
Long-Term Disability
401(k) retirement savings plan
Paid Caregiver Leave
Paid Time Off
Short-Term Disability
Dental benefits
Volunteer Time Off
Paid parental leave
Medical benefits
Vision benefits
Company Holidays
Personal holidays

Certifications

OASIS certification (HCS-O, COQS, and/or COS-C) (Required)

About Humana

CenterWell Home Health specializes in personalized, comprehensive home care for patients managing chronic conditions or recovering from injury, illness, surgery, or hospitalization. CenterWell, a Humana company, is focused on whole-person health, providing senior-focused primary care, home health se...

Healthcare
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