Clinical Manager

UnitedHealth Group•Marlborough, MA

3d•$88,596 - $132,894

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 communication about patient care, and supports referrals, scheduling, patient visits, and documentation as needed. The Clinical Manager organizes clinical operations for the care center and oversees clinical quality, staff performance, scheduling, payor verification, and precertification.

Requirements

Associate or bachelor's degree in nursing.
Current RN license specific to the state or states 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

Recommend staff employment decisions to the director of operations, including hiring, firing, advancement, promotion, or status changes.
Be responsible for overall patient-care quality and the clinical performance of nurses and aides.
Organize clinical operations for the care center.
Review service requests and determine patient eligibility and suitability for home care services.
Work with intake to coordinate patient referrals and admissions.
Oversee scheduling.
Oversee payor verification and precertification requirements.
Review other staff members’ documentation and ensure missing, incomplete, or untimely documentation issues are resolved.
Assist clinicians in establishing immediate and long-term patient goals, setting priorities, and developing Plans of Care.
Regularly evaluate patient needs and make necessary care-plan revisions in collaboration with clinicians.
Provide direct patient care infrequently in emergencies, as needed.
Participate in the on-call process.
Assist with staff training to ensure quality care, compliance, and fiscal responsibility.
Participate in investigating and resolving patient, family, and physician concerns.