UnitedHealth Group

RN Clinical Manager - Behavioral Health

UnitedHealth Group • $95K — $98K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Registered Nurse (RN) license in the state of practice
  • Solid understanding of home care regulations and reimbursement mechanisms
  • Bachelor's degree in nursing + 2 years full-time clinical experience (2 in home health or related) or equivalent experience
  • 1+ years of home care experience preferred
  • Supervisory or management experience preferred

Responsibilities

  • Evaluate patient eligibility and reimbursement criteria for home care services
  • Schedule and ensure timely documentation of initial assessments
  • Coordinate with Case Coordinators for appropriate staffing and coverage
  • Monitor patient utilization for compliance with physician orders and agency policies
  • Approve and update plans of care, including verbal orders and treatments
  • Conduct routine and supervisory field visits as required by state regulations
  • Support training and orientation of newly hired staff

Benefits

  • Comprehensive benefits package
  • Incentive and recognition programs
  • Equity stock purchase
  • 401k contribution
  • Far-reaching choice of benefits and incentives
Full Job Description
As the Clinical Manager, you are responsible for ensuring high-quality, cost-effective patient care. You oversee the daily operations of the agency, managing key functions such as scheduling, staffing, intake, physician communication, billing, and compliance. Your leadership keeps everything running smoothly, ensuring both clinical excellence and operational efficiency.

Primary Responsibilities:

  • Evaluate patient eligibility and reimbursement criteria for home care services; collaborate with Agency Director on referral acceptance and care planning
  • Schedule and ensure timely documentation of initial assessments
  • Coordinate with Case Coordinators to ensure appropriate staffing and coverage
  • Monitor patient utilization for compliance with physician orders, agency policies, and funding guidelines; investigate and resolve unfilled shifts
  • Assist with scheduling for Case Managers, nurses, and PRN staff; ensure timely and accurate documentation submission
  • Approve and update plans of care (POC), including verbal orders, medications, and treatments
  • Ensure timely completion of recertifications and verify plan of care content and compliance with policies
  • Conduct routine and supervisory field visits as required by state regulations
  • Support training and orientation of newly hired nurses, caregivers, and staff


You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • Registered Nurse (RN) license in the state of practice
  • Solid understanding of home care regulations and reimbursement mechanisms


State Specific Requirement:

  • CT: RN with one of the following:
    • Bachelor's degree in nursing + 2 years full-time clinical experience (2 in home health or related)
    • Associate degree in nursing + 3 years full-time clinical experience (2 in home health or related)
    • Diploma in nursing + 3 years full-time clinical experience (2 in home health or related)


Preferred Qualifications:

  • Bachelor's degree in nursing, healthcare, healthcare technology, or education
  • 1+ years of home care experience
  • Supervisory or management experience
  • Experience in staff training or orientation
  • Ability to manage schedules, documentation, and compliance processes


Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $95,000 to $98,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

About UnitedHealth Group

UnitedHealth Group is a medical facility. They offer health technology, health finance, and pharmacy services. They are utilizing clinical data and intelligence to assist in the redesign, automation, and deployment of technology to streamline administrative operations and clinical decision-making. Payment systems for both consumers and providers are critical components of a health-care system.

UnitedHealth Group Careers

Joining UnitedHealth Group means becoming part of a diverse team dedicated to making a difference. As a leader in health services and innovation, our company offers a variety of job opportunities that allow professionals to leverage their skills, drive innovation, and improve lives. Work You’ll Do At UnitedHealth Group, you’ll contribute to a mission-focused environment where your expertise will influence the health and well-being of people worldwide. Our employment opportunities span across a wide range of disciplines, from healthcare specialists to data analysts, ensuring that your career journey is both dynamic and rewarding. Transform Healthcare with Your Expertise UnitedHealth Group stands at the forefront of health innovation. Our team collaborates to deliver solutions that lead to better patient outcomes. Working with us, you’ll find yourself at the intersection of technology, healthcare, and leadership, providing key insights that drive industry transformation. Join Our Global Team As part of our team, you’ll engage with over 300,000 professionals globally, dedicated to building a diverse and inclusive workplace. UnitedHealth Group is not just a company; it’s a community where you can grow your career through continuous learning and leadership opportunities. Our commitment to diversity training ensures that every team member can thrive. UnitedHealth Group Career Development We are committed to your professional growth. Explore career paths filled with promising job opportunities and internships that will harness your potential and expand your capabilities. Whether you’re a seasoned professional or a recent graduate, you’ll find that our career development programs support your ambition at every level. Innovative Work Environment At UnitedHealth Group, innovation is at the core of our operations. We encourage our team to bring forward-thinking ideas that challenge the status quo and lead to breakthrough improvements in patient care. Be Part of a Great Team Our culture fosters a collaborative and supportive environment where every member’s contribution is valued. Enjoy the benefits of being part of a global team that’s committed to making a difference in people’s lives. Future-Proof Your Career With UnitedHealth Group, your career is future-proof. Dive into a range of positions that offer both challenges and rewards. Our robust support system includes unmatched training, development programs, and certification support to propel your career forward. Stay Connected Join Our Team Discover the right position that matches your skills and interests. We are always hiring and look for passionate, curious, and solution-driven team players. Search UnitedHealth Group jobs today and take the first step towards a fulfilling career. Keep Up to Date Stay informed with career tips, insider perspectives, and industry-leading insights you can use today—all from the people who work here. Read Careers Blog Job Alert Emails Customize your subscription to receive job alerts, the latest news, and insider tips tailored to your preferences. Explore the exciting and rewarding opportunities that await at UnitedHealth Group.
Learn more about UnitedHealth Group
Size
350,000 employees
Market Cap
$493.1 billion
Industry
Net Income
$15.4 billion
Founded
1974
5 Year Trend
+9.2%
Revenue
$257.1 billion
NASDAQ

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