Clinical Manager

UnitedHealth Group•Amherst, NY

20d•$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 position also organizes clinical operations for the care center and oversees care quality, staff performance, and clinical processes.

Requirements

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

Responsibilities

Recommend staff employment decisions to the director of operations, including hiring, firing, advancement, promotion, or changes in status.
Be responsible for the overall quality of patient care and 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 is resolved.
Assist clinicians in establishing immediate and long-term patient goals, setting priorities, and developing plans of care.
Regularly evaluate patient needs and revise plans of care in collaboration with clinicians.
Provide direct patient care infrequently during 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.