As a Director of Clinical Management at CenterWell Home Health, reporting to the Branch Director, you will direct clinical services provided by the branch. Ensure adherence to federal and state accreditation and company standards for the provision of reimbursable patient services, and compliant clinical records substantiating those services.
As a Registered Nurse Clinical Manager, you will:
- Acts as alternate administrator when BD is not available and shares responsibility with the BD for seeing that regulations and standards are met.
- Participates in developing objectives and standards for the HHA which ensure safe and therapeutically effective services to patients and families.
- Consults with BD to determine a staffing pattern which will accomplish stated objectives and promote maximum level of utilization of clinical personnel.
- Participates in the recruitment, interviewing, selection and orientation of staff members, evaluates their performance relative to job goals/requirements, coaches them and ensures adherence to internal policies.
- Investigates and reports any problems relating to patient care or conditions which might harm the patient and/or employee well being.
- Monitors supplies/equipment for appropriate use and ordering and takes steps to minimize misuse.
- Ensures compliance with infection control standards, including the tracking and trending of employee/patient infections and manages bio-hazardous waste program.
- Ensures that patients’ plans of care are developed, implemented and evaluated.
- Conducts monthly staff meetings and/or in services in collaboration with BD.
- Oversees completion of clinical record reviews and PAE’s timely. Completes clinical portions of QAPI in collaboration with BD. Ensures adherence to PI plans.
- Oversees scheduling and completion of annual supervisory visits for all field staff.
- Ensures service quality and participates in care coordination to ensure proper communication between caregivers, patients, referral sources and payors. Discuss operational issues, updates staff on new/changed regulations and reviews records/documentation to ensure regulatory and in-house compliance.
- Available to share admin on call rotation as needed; able to perform nursing functions in times of emergent staff shortage.
- Participates in special projects and performs other duties as required.
Use your skills to make an impact
Required Qualifications:
- Current state license as a Registered Nurse.
- Minimum of 5 years of clinical experience in nursing including acute/home care experience in the past 2 years and 2 years in a supervisory/administrative role.
- Expert knowledge of home health care supervision, home health agency regulations and CMS services required
- Excellent organizational, problem solving, decision making and communication skills are required.
- Proof of current CPR.
- Valid driver's license, auto insurance and reliable transportation.
Additional Information
TB Statement:
This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
Driving Statement:
This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance. Individual must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher.
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 (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.