Clinical Manager

UnitedHealth Group•Griffin, GA

12d•$77,040 - $115,560

About The Position

The Clinical Manager provides leadership, supervision, and coordination of therapy services to ensure high-quality, compliant, and cost-effective patient care. The role maintains fiscal responsibility, facilitates patient care communication, and supports referrals, scheduling, patient visits, and documentation as needed. The Clinical Manager is responsible for the overall quality of patient care and clinical performance of nurses and aides, and organizes clinical operations for the care center. The position works with intake to coordinate referrals and admissions, oversees scheduling and payor verification and precertification, reviews staff documentation, and helps clinicians develop and revise patient goals and plans of care. The role may provide direct patient care infrequently in emergencies, participates in the on-call process, supports staff training, and participates in investigating and resolving patient, family, and physician concerns.

Requirements

Associate or bachelor's degree in nursing.
Current RN license specific to the state(s) assigned.
Current CPR certification.
At least 1 year of clinical RN experience in home health or hospice.
At least 1 year of RN management experience.
Driver’s license and access to reliable transportation.

Responsibilities

Recommends staff employment decisions to the director of operations, including hiring, firing, advancement, promotion, or status changes.
Ensures overall quality of patient care and clinical performance of nurses and aides.
Organizes clinical operations for the care center.
Reviews service requests and determines patient eligibility and suitability for home care services.
Works with intake to coordinate patient referrals and admissions.
Oversees scheduling.
Oversees payor verification and precertification requirements.
Reviews other staff members’ documentation and ensures missing, incomplete, or untimely documentation issues are resolved.
Assists clinicians in establishing immediate and long-term patient goals, setting priorities, and developing plans of care.
Regularly evaluates patient needs and collaborates with clinicians to revise plans of care as necessary.
May provide direct patient care infrequently in emergencies.
Participates in the on-call process.
Assists with staff training to ensure quality care, compliance, and fiscal responsibility.
Participates in investigating and resolving patient, family, and physician concerns.