Clinical Manager - RN License Required

UnitedHealth Group•Williamsburg, VA

3d•$73,188 - $109,782

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. It also carries responsibility for overall quality of patient care and clinical performance of nurses and aides, and for organizing clinical operations at the care center. The Clinical Manager reviews service requests and determines patient eligibility and suitability for home care, works with intake on referrals and admissions, oversees scheduling and payor verification and precertification, and ensures documentation issues are resolved. The role assists clinicians with patient goals and plans of care, evaluates patient needs and revises plans in collaboration with clinicians, may provide direct care infrequently during emergencies, participates in the on-call process, supports staff training, and helps investigate and resolve patient, family, and physician concerns. The position may recommend staff employment decisions to the director of operations. This is a full-time role with an annual salary range of $73,188 to $109,782 and a $15,000 sign-on bonus for external candidates. Benefits are subject to eligibility requirements and include a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401(k) contribution. Candidates must pass a drug test before beginning employment.

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.
Ensure 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 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 revise plans of care 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.