Clinical Manager

UnitedHealth Group•Warwick, RI
•$80,892 - $121,338

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.

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 changes in status.
  • Ensure 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 other staff members’ documentation and ensure missing, incomplete, or untimely documentation issues are resolved.
  • Assist clinicians in setting immediate and long-term patient goals, establishing priorities, and developing Plans of Care.
  • Regularly evaluate patient needs and collaborate with clinicians on necessary revisions to plans of care.
  • 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 the investigation and resolution of patient, family, and physician concerns.

Benefits

  • Comprehensive benefits package, subject to eligibility requirements.
  • Incentive and recognition programs.
  • Equity stock purchase.
  • 401(k) contribution, subject to eligibility requirements.
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