Clinical Manager, Home Health Nursing

CenterWell • Crestview, FL

16d

About The Position

Become a part of our caring community and help us put health first The Clinical Manager, Home Health Nursing leads a team of professional field clinicians. The clinical manager reviews OASIS and regular visit documentation submitted by the clinicians for accuracy, ensuring state and federal guidelines are met. The clinical manager conducts weekly IDT meetings, performs quarterly chart audits, assists with the needs of the branch and other duties as assigned. Decisions are typically related to resources, approach, and tactical operations for projects and initiatives involving own departmental area. Requires cross departmental collaboration and conducts briefings and area meetings; maintains frequent contact with other managers across the department. The Clinical Manager, Home Health Nursing works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the form of objectives and determines approach, resources, schedules, and goals. Upon hire through the organization's formal selection process, the Clinical Manager ensures the overall coordination of home health services provided to all clients is delivered in a safe and effective manner. The role is responsible for facilitating the relationship between referral sources, patients, caregivers, and employees. Depending on branch census you may be responsible for other duties as assigned.

Requirements

• Hold a degree from an accredited institution of higher education.
• Maintain an active clinical license in the state of practice and meet all state‑specific requirements
• Two or more years of experience in health service administration with experience in home health care or related health care program (e.g., hospice, hospital, assisted living) is required.
• Demonstrated leadership experience required, either through formal roles (such as team lead, supervisor, or manager) or informal leadership activities (such as project coordination, mentoring, or influencing cross-functional teams).

Responsibilities

• Track and evaluate clinical quality metrics while ensuring full compliance with regulatory and accreditation standards. This includes oversight of QA/PI activities, care outcomes, documentation accuracy, and timely audits and billing review.
• Oversee the completion and quality of Starts of Care (SOC), ensuring timely assessments, accurate documentation, regulatory compliance, and effective coordination among clinicians to support safe and efficient admission processes.
• Ensure accuracy and completeness of patient documentation by reviewing assessments and care plans, identifying compliance risks, and resolving issues that may affect care delivery or coordination.
• Review, approve, and route physician orders; ensure corrections are addressed and updates to medication profiles and visit schedules are properly maintained.
• Monitor and respond to changes in patient condition, vital‑sign alerts, wound score deviations, and other clinical occurrences; document all follow‑up actions and physician communications appropriately.
• Partner with the Branch Director to develop and monitor budget, oversee clinical operations, and evaluate quality and performance metrics.
• Lead weekly case conferences to guide recertification, discharge decisions, and oversee coordination of care and timely documentation.
• Direct all aspects of daily clinical operations, including patient and staff assignments, care coordination, referral management, and oversight of the plan of care.
• Hiring, training, coaching, and supporting field clinicians while fostering engagement, retention, and a safe, productive working environment.
• Oversee laboratory result review, ensure timely identification of abnormalities, and coordinate appropriate clinical responses and physician communication.
• Monitoring on‑call coordination notes and taking timely, appropriate action when issues arise.
• Addressing and resolving clinical claim deficiencies promptly to ensure accurate and timely billing.
• Reviewing and approving referrals based on clinical appropriateness and branch capacity to ensure timely initiation of care.
• Documenting non‑admit decisions in HCHB and obtaining Branch Director approval per protocol.
• Perform patient visits and participate in on-call rotations as needed to support clinical operations.

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.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager