Registered Nurse Clinical Manager

Appcast

$92K — $127K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Graduate of an accredited School of Nursing
  • Current state license as a Registered Nurse
  • Bachelors of Science in Nursing
  • Certified Home health Agency experience or four years' CHHA experience with BSN coursework
  • Proof of current CPR certification
  • Valid driver's license, auto insurance, and reliable transportation
  • Management experience preferred, OASIS experience required

Responsibilities

  • Develop and implement clinical operations for the assigned location
  • Conduct patient assessments and update care plans per guidelines
  • Manage caregiver assignments and oversee patient care delivery
  • Review case referrals and determine patient admission criteria
  • Guide clinicians in establishing therapeutic goals and Plans of Care
  • Monitor documentation compliance with regulatory agencies
  • Coordinate communication among team members and care providers

Benefits

  • Medical, dental, and vision benefits
  • 401(k) retirement savings plan
  • Paid time off, company and personal holidays
  • Volunteer time off, paid parental and caregiver leave
  • Short-term and long-term disability
  • Life insurance
Full Job Description
$10,000 SIGN ON BONUS

We are excited to expand our leadership team and are seeking experienced, motivated Clinical Managers to join our growing home health branches in Westbury, Hauppauge, and Riverhead, NY!

Work Schedule: Full-time/40 Hours

Position Type: On-site

Branch Location(s): Westbury, Hauppauge, Riverhead

This is NOT a remote or work-from-home position. You will sit on-site at one of our New York branch locations: Westbury, Hauppauge, Riverhead.

As the RN Clinical Manager, you will oversee all direct care patient services provided by clinical personnel. You will be a focused on both home health clinical quality assurance and home health clinical operations plans. You will report to the Branch Director at the branch assigned to you.

  • Develop, plans, implements, analyzes, and organizes clinical operations for a specific location managed.
  • Conduct/delegate the assessment and reassessment of patients, including updating of care plans and interpreting patient needs, while following Company, physician, or health facility procedures.
  • Manage the assignment of caregivers.
  • Responsible for and oversees the delivery of care to all patients served by the location. Receive case referrals. Review 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. Assign appropriate clinicians to a case.
  • Instruct and guide clinicians to promote more engaging performance and delivery of quality home care services and is available during operating hours to assist clinicians.
  • Assist clinicians in establishing immediate and long-term therapeutic goals, in setting priorities, and in developing patient Plan of Care (POC).
  • Monitor cases to ensure documentation is in compliance with regulatory agencies and requirements of third-party payers. Ensure final audits/billing are completed and in compliance with Medicare regulations.
  • Coordinate communication between team members/attending physicians/caregivers to ensure the appropriateness of care and outcome planning.
  • Work together with the Branch Director and Company Finance Department to establish location's revenue and budget goals.
  • Participate in sales and marketing initiative.
  • Oversee all clinical employees assigned to a specific location. Responsible for the coordination, and evaluation of the location. Manage supervisory responsibilities following Company procedures.
  • Handle necessary employee corrective action and discipline issues fairly and objectively, with the Human Resources Department and the Executive Director/Director of Operations.
  • Participate in the interviewing, hiring and development of direct care clinicians. Evaluate their performance relative to job goals and requirements. Coach staff and recommends in-service education programs, when needed. Ensure adherence to internal policies.
  • Assess staff education needs based on the review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and conducts regular staff education.
  • Analyze situations, identifies problems, evaluate alternative courses of action through the use of Performance Improvement principles.
  • Responsible for the QA/PI activities. Work with Utilization Review staff relative to data tracking for performance review and outcomes of care analysis to determine efficiency, the efficacy of case management system and any other systems and process. Competently perform patient care assignments and staff management activities.
  • Provide direct patient care on an infrequent basis and only in times of emergency.
  • Step in as the Branch Director in their absence.
  • Interpret Company standards and Company procedures to ensure compliance with external regulatory authorities and ensure that caregiver clinical documentation meets internal standards.
  • Participate in performance improvement activities, maintain ongoing clinical knowledge through internal and external training programs. Provide interpretation of knowledge and direction to staff.
  • Maintain relationships with referral/community sources. Participate in professional organizations and conduct care-related programs.

Use your skills to make an impact

Required Experience/Skills:

  • Graduate of an accredited School of Nursing.
  • Current state license as a Registered Nurse.
  • Bachelors of Science in Nursing
  • Certified Home health Agency experience is required (NY state requirement) or four years' CHHA experience along withsix credit hours toward BSN.
  • Proof of current CPR.
  • Valid driver's license, auto insurance and reliable transportation.
  • Management and people leadership experience, preferred.
  • OASIS experience, required. OASIS certification (HCS-O, COQS, and/or COS-C), preferred.
  • Homecare Homebase (HCHB) experience, preferred.
  • CMS PDGM billing knowledge and/or experience, preferred.

Additional Information

  • Normal Hours of Operation: M-F / 8a-5p (ET)
  • On-Call Expectation: As needed

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.$92,600 - $127,400 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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

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