RN Clinical Manager

CenterWell Home Health; Liverpool; Hybrid; GBP 57,000 - 80,000; Full time

Job summary

A leading home health provider in Liverpool is seeking an RN Clinical Manager to oversee direct care patient services and ensure quality assurance. The ideal candidate will have a BSN, current RN license, and management experience in home health. This role offers a competitive salary range and comprehensive benefits including medical, dental, and 401(k).

Benefits

Annual bonus eligibility

Comprehensive benefits package

Paid time off

Qualifications

• Graduate of an accredited School of Nursing; BSN required.
• Current state RN license and valid CPR certification.
• Two years of RN experience with at least one year of management experience in a home health environment.

Responsibilities

• Coordinate and oversee all direct care patient services.
• Develop, plan and implement clinical operations for the location managed.
• Supervise all clinical employees assigned to the location.

Skills

Management experience

Home health clinical operations

OASIS experience

Patient care assessment

Education

BSN

RN license

Tools

Homecare Homebase (HCHB)

Job description

Overview

The RN Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. This role focuses on home health clinical quality assurance and home health clinical operations initiatives. Location: Liverpool, NY. Schedule: Full-time, 40 hours per week. Position type: Hybrid. Base pay range: $77,200.00/yr - $106,200.00/yr. Total compensation may vary based on experience.

Responsibilities

• Develop, plan, implement, analyze, and organize clinical operations for the location managed.
• Assess and reassess patients, update care plans, and interpret patient needs in accordance with company, physician, and facility procedures/policies.
• Manage the assignment of caregivers and oversee delivery of care to all patients served by the location.
• Guide clinicians to promote effective performance and high-quality home care services; provide availability during operating hours to assist clinicians as appropriate.
• Assist clinicians in establishing immediate and long-term therapeutic goals, setting priorities, and developing patient Plans of Care (POC).
• Monitor case documentation to ensure regulatory and third-party payer compliance; ensure timely audits and billing in compliance with Medicare regulations.
• Coordinate communication among team members, attending physicians, and caregivers to ensure appropriate care and outcome planning.
• Collaborate with Branch Director and Finance to establish location revenue and budget goals; participate in sales and marketing initiatives.
• Supervise all clinical employees assigned to the location; handle disciplinary actions in consultation with Human Resources and leadership.
• Participate in interviewing, hiring, and training of direct care clinicians; evaluate performance and coach staff; ensure adherence to internal policies and standards.
• Assess staff education needs, deliver regular staff education, and support professional development.
• Analyze situations, identify problems, and evaluate actions using Performance Improvement principles.
• Review case managers and clinical documentation for appropriateness of care, starts-of-care, resumption-of-care, and recertifications.
• Lead QA/PI activities; work with Utilization Review on data tracking to evaluate performance and outcomes; participate in care delivery and staff management as needed.
• Provide direct patient care only in emergencies; may act as Branch Director in absence of the director.
• Ensure compliance with Company standards and external regulatory requirements; interpret policies for staff and ensure documentation adequacy.
• Maintain relationships with referral sources and participate in professional organizations and care-related programs.
• Perform other related duties as assigned.

Qualifications

• Graduate of an accredited School of Nursing; BSN required (NY state requirement).
• Current state RN license and valid CPR certification.
• Proof of valid driver’s license, auto insurance, and reliable transportation.
• Two years of RN experience with at least one year of management experience in a home health environment.
• Certified Home Health experience required (NY state requirement) or four years in home care with related management education/training.
• Management and people leadership experience preferred.
• OASIS experience required; OASIS certification (HCS-O, COQS, COS-C) preferred.
• Homecare Homebase (HCHB) experience preferred; CMS PDGM billing knowledge/experience preferred.

Additional Information

• Normal Hours of Operation: Mon-Fri, 8:00 am–5:00 pm (ET)
• On-Call: As needed
• Branch Size: 900 Census (4.5 STAR rating)
• Annual Bonus Eligible: Yes (annual incentive bonus with quarterly and annual payouts)

Pay and Benefits

• Pay range: $77,200 - $106,200 per year; pay is a good-faith starting range and varies by location and experience.
• Benefits: Humana CenterWell benefits including medical, dental, vision, 401(k), vacation and other paid time off, disability, life insurance, and additional opportunities.

Equal Opportunity

Equal Opportunity Employer. Humana does not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, disability, or protected veteran status. We comply with applicable laws and emphasize affirmative action to employ qualified individuals.