Position Type: Onsite, branch-based leadership role in Troy, MI (Detroit metro). This is an active, high-intensity clinical oversight position - not a desk role.
Position OverviewWe are looking for a Clinical Manager who can lead clinical execution with high standards and high intensity. This is not a passive "clinical support" role. The branch Clinical Manager owns day-to-day clinical quality, staff development, and rehospitalization prevention for their branch. You are accountable for outcomes - not just activities. You will partner closely with operations, scheduling, and leadership to keep care delivery on track, and you will be a key leader in how we scale safely.
What You'll DoOwn Clinical Execution for Your Branch- Provide direct clinical guidance to clinicians as needed
- Respond to clinical calls (patients, caregivers, providers) and identify actions needed with appropriate clinical judgement
- Monitor daily on-call events to identify urgent patient status changes
- Conduct real-time evaluation reports from assessing clinicians to identify immediate patient needs, ensure care plan is complete, provide guidance for visit utilization, and follow up on verbal plan of care approval to ensure physician orders are timely and complete
- Complete transfer reviews daily to assess hospitalized patients including root cause analysis and action planning as needed for areas of improvement
- Review high-risk patients and coordinate proactive intervention to prevent avoidable events
Lead and Develop Field Clinicians- Coach clinicians on clinical reasoning, visit planning, patient education, and documentation quality
- Address performance issues quickly and fairly, including structured improvement plans when needed
- Lead new clinician orientation and skills validation to ensure competency before independent deployment
- Build your own clinical team as the branch grows
Lead Quality & Compliance- Own branch survey readiness: documentation quality, clinical compliance, and field staff preparedness
- Track HHCAHPS results and quality KPIs, identify trends, and implement coaching or process changes
- Partner with our centralized Quality Assurance team on documentation accuracy and OASIS review
- Perform field supervisory visits covering infection control, safety, compliance, and clinical skills
Be the Escalation Leader- Make calm, decisive escalation decisions for high-risk patients, safety concerns, and incidents
- Coordinate with leadership on sensitive patient situations, hospitalizations, and quality investigations
Who You AreA high-accountability clinical leader who loves developing clinicians. You bring urgency, clarity, and standards to complex clinical operations. You are energized by coaching clinicians, solving care delivery problems in real time, and holding the line on quality every day.
Must-Haves- Active RN license, valid in Michigan
- Home health leadership experience, minimum 1 year
- Ability to coach, mentor, and train clinical staff across skill levels
- Strong clinical judgment and a structured approach to prioritization and escalation
- A strong sense of personal accountability. You own clinical outcomes through your clinical staff
- Ability to communicate clearly across clinical and operational teams
- Willingness and ability to be present onsite at the branch as an active clinical leader
Nice-to-Haves- Experience opening or scaling a new branch or market
- Experience partnering closely with operations teams to prevent service failures
- Experience leading new hire clinical orientation and skills validation programs
How you work- Owner mindset: You prefer accountability over recommendations
- Bias to action: You solve problems quickly while staying safe and compliant
- High standards: You hold the line on quality, documentation, and patient experience
- Low ego: You are willing to do hands-on work and teach others to do it well
