Clinical Manager

UnitedHealth Group•St. Louis, MO
•$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 role reviews service requests, determines patient eligibility and suitability for home care, coordinates referrals and admissions with intake, and oversees scheduling, payor verification, and precertification requirements. The manager also reviews staff documentation, supports clinicians with patient goals and plans of care, and reassesses patient needs to guide care-plan revisions. The position may provide direct patient care infrequently during emergencies, participates in the on-call process, assists with staff training, and helps investigate and resolve concerns raised by patients, families, or physicians. The role also recommends staff employment decisions to the director of operations. Amedisys is part of the Optum family of businesses and offers a culture focused on caring, connecting, and growing.

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

  • Recommend staff employment decisions to the director of operations, including hiring, firing, advancement, promotion, or status changes.
  • Oversee the overall quality of patient care 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.
  • 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 care-plan revisions.
  • Provide direct patient care infrequently in emergency situations, as needed.
  • Participate in the on-call process.
  • Assist with staff training to support quality care, compliance, and fiscal responsibility.
  • Participate in investigating and resolving patient, family, or 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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