Clinical Manager

UnitedHealth Group•Winter Haven, FL
•$73,188 - $109,782

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 manager oversees clinical operations and staff performance, coordinates care planning with clinicians, and may provide direct patient care infrequently in emergencies. The position participates in the on-call process and helps train staff, address concerns, and maintain quality and compliance.

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.
  • Oversees the 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; coordinates referrals and admissions with intake.
  • Oversees scheduling.
  • Oversees payor verification and precertification requirements.
  • Reviews other staff members’ documentation and ensures missing, incomplete, or untimely documentation is resolved.
  • Assists clinicians with establishing immediate- and long-term patient goals, setting priorities, and developing Plans of Care (POCs).
  • Regularly evaluates patient needs and collaborates with clinicians to revise plans of care as needed.
  • 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.

Benefits

  • Comprehensive benefits package, subject to eligibility requirements.
  • Incentive and recognition programs, subject to eligibility requirements.
  • Equity stock purchase, subject to eligibility requirements.
  • 401(k) contribution, subject to eligibility requirements.
  • Development opportunities for other roles.
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