Branch Clinical Manager (RN) Home Health

Adaptive Home Health•Las Vegas, NV

21d•$95,000 - $110,000•Onsite

About The Position

The Branch Clinical Manager (RN) leads clinical execution for a home health branch in an onsite role in Las Vegas, Nevada. This is an active leadership position accountable for day-to-day clinical quality, staff development, and preventing rehospitalizations. The manager partners with operations, scheduling, and leadership to keep care delivery on track and support safe growth. The role emphasizes direct clinical oversight, clinician coaching and development, quality and compliance, and decisive escalation for high-risk patient situations. Branch leaders are supported by centralized administrative functions so they can focus on patient care and clinical leadership. Compensation is a base salary of $95,000–$110,000 plus bonus, with on-target earnings of $120,000–$130,000. The position is primarily branch-based and includes regular field supervisory visits, local travel, and patient home visits as needed. The work may involve varied home environments and weather conditions, multiple priorities, and lifting up to 50 pounds and supporting patients as needed.

Requirements

Active, unrestricted RN license valid in Nevada; an out-of-state license does not satisfy this requirement.
At least one year of leadership experience at a Medicare-certified skilled home health agency, with direct reports.
Ability to coach, mentor, and train clinical staff across skill levels.
Strong clinical judgment and a structured approach to prioritization and escalation.
Strong personal accountability for clinical outcomes through 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.
Ability to manage multiple priorities in a fast-paced environment.
Ability to lift up to 50 pounds and support patients as needed.

Nice To Haves

Experience opening or scaling a new branch or market.
Experience at an agency with centralized or shared-services back-office functions.
Experience partnering closely with operations teams to prevent service failures.
Experience leading new-hire clinical orientation and skills-validation programs.

Responsibilities

Own clinical execution and day-to-day clinical quality for the branch.
Provide direct clinical guidance to clinicians as needed.
Respond to clinical calls from patients, caregivers, and providers, using clinical judgment to identify appropriate actions.
Monitor daily on-call events for urgent changes in patient status.
Evaluate reports from assessing clinicians in real time to identify immediate patient needs, confirm care-plan completeness, guide visit utilization, and follow up on verbal plan-of-care approvals so physician orders are timely and complete.
Complete daily transfer reviews for hospitalized patients, including root-cause analysis and action planning when improvement is needed.
Review high-risk patients and coordinate proactive interventions to prevent avoidable events.
Coach clinicians on clinical reasoning, visit planning, patient education, and documentation quality.
Address performance issues promptly and fairly, including creating structured improvement plans when needed.
Lead new clinician orientation and skills validation to confirm competency before independent deployment.
Build the clinical team as the branch grows.
Own branch survey readiness, including documentation quality, clinical compliance, and field staff preparedness.
Track HHCAHPS results and quality KPIs, identify trends, and implement coaching or process changes.
Partner with the centralized Quality Assurance team on documentation accuracy and OASIS review.
Perform field supervisory visits covering infection control, safety, compliance, and clinical skills.
Make calm, decisive escalation decisions for high-risk patients, safety concerns, and incidents.
Coordinate with leadership on sensitive patient situations, hospitalizations, and quality investigations.