Clinical Manager

UnitedHealth Group•Plymouth, MA

14d•$90,000 - $120,000

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 also helps ensure quality care, regulatory compliance, and effective clinical operations across the care center.

Requirements

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

Responsibilities

Recommend staff employment decisions to the director of operations, including hiring, termination, advancement, promotion, or status changes.
Be responsible for the overall quality of patient care and the clinical performance of nurses and aides.
Organize clinical operations for the care center.
Review requests for services and determine patient eligibility and suitability for home care services.
Coordinate patient referrals and admissions with intake.
Oversee scheduling.
Oversee payor verification and precertification requirements.
Review staff 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 collaborate with clinicians on necessary revisions to the plan of care.
Provide direct patient care infrequently in emergency situations 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.