Clinical Manager - Lexington

UnitedHealth Group•Lexington, KY

5h•$48,816 - $73,224•Onsite

About The Position

As the Clinical Manager, you are responsible for ensuring high-quality, cost-effective patient care. You oversee the daily operations of the agency, managing key functions such as scheduling, staffing, intake, physician communication, billing, and compliance. Your leadership keeps everything running smoothly, ensuring both clinical excellence and operational efficiency.

Requirements

Registered Nurse (RN) license in the state of practice
Solid understanding of home care regulations and reimbursement mechanisms
Driver’s License and access to a reliable transportation
KY: Minimum 2 years of RN experience in aging or disabilities

Nice To Haves

Bachelor’s degree in nursing, healthcare, healthcare technology, or education
1+ years of home care experience
Supervisory or management experience
Experience in staff training or orientation
Ability to manage schedules, documentation, and compliance processes

Responsibilities

Evaluate patient eligibility and reimbursement criteria for home care services; collaborate with Agency Director on referral acceptance and care planning
Schedule and ensure timely documentation of initial assessments
Coordinate with Case Coordinators to ensure appropriate staffing and coverage
Monitor patient utilization for compliance with physician orders, agency policies, and funding guidelines; investigate and resolve unfilled shifts
Assist with scheduling for Case Managers, nurses, and PRN staff; ensure timely and accurate documentation submission
Approve and update plans of care (POC), including verbal orders, medications, and treatments
Ensure timely completion of recertifications and verify plan of care content and compliance with policies
Conduct routine and supervisory field visits as required by state regulations
Support training and orientation of newly hired nurses, caregivers, and staff